Okayama Igakkai Zasshi (Journal of Okayama Medical Association)
Online ISSN : 1882-4528
Print ISSN : 0030-1558
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Volume 130, Issue 2
Displaying 1-12 of 12 articles from this issue
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The 2017 Okayama Medical Association Awards
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Case Report
  • An effective case of peroral endoscopic myotomy for esophageal abnormal peristalsis after Heller-Dor myotomy
    Yuusaku Sugihara, Keita Harada, Ryo Kato, Kenji Yamauchi, Shiho Takash ...
    2018 Volume 130 Issue 2 Pages 67-71
    Published: August 01, 2018
    Released on J-STAGE: September 03, 2018
    DOIhttps://doi.org/10.4044/joma.130.67
    JOURNAL FREE ACCESS
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    　Esophageal achalasia is a disorder of the lower esophageal sphincter muscle. Our patient, a Japanese male in his 80's, had been experiencing dysphagia for almost 60 years. He was treated with balloon dilations and Heller-Dor 5 years prior to his present admission. Esophagogastroduodenoscopy, esophageal radiography, and high-myotomy manometry indicated that the symptoms were likely due to abnormal peristalsis. With the patient’s informed consent, we performed a peroral endoscopic myotomy（POEM）. The patient was discharged 4 days post-surgery. At the 6-month postoperative examination, no worsening of symptoms or relapse was observed. POEM is an excellent treatment method for esophageal achalasia from the perspective of therapeutic effect. We recommend that POEM be considered as the first-choice treatment for abnormal peristalsis after a Heller-Dor myotomy.
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