Abstract
A 52-year-old male patient was referred to our hospital because of a 2-year history of dysphagia with suspected diffuse esophageal spasms. Upper gastrointestinal endoscopy and chest computed tomography showed no apparent abnormalities. Conventional esophageal manometry indicated that the lower esophageal sphincter (LES) pressure and the residual pressure were 49.0 mmHg and 30.4 mmHg, respectively. These findings revealed no relaxation of the LES. Esophageal body manomery findings showed retrograde peristalsis in all 10 wet swallows. The diagnosis was made as non-specific esophageal motility disorders (NEMD), and laparoscopic Heller myotomy and Dor fundoplication was performed. The operative time, estimated blood loss, and peri-operative complications were 210 minutes, a little, and none, respectively. He was discharged on the post-operative day 4 and has been followed in the clinic. After the surgical treatment, dysphagia had completely disappeared. Retrograde peristalsis was entertained, which to date has not been reported.
