Open AccessPersistent chest pain in young male patient: Jackhammer esophagus treated with peroral endoscopic myotomy
Author(s) -
Tabuchi Maiko,
Minami Hitomi,
Akazawa Yuko,
Ogihara Kumi,
Kitayama Moto,
Hashiguchi Keiichi,
Matsushima Kayoko,
Yamaguchi Naoyuki,
Ohnita Ken,
Takeshima Fuminao,
Inoue Haruhiro,
Nakao Kazuhiko
Publication year - 2019
Publication title -
jgh open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.546
H-Index - 8
ISSN - 2397-9070
DOI - 10.1002/jgh3.12115
Subject(s) - myotomy , dysphagia , medicine , high resolution manometry , chest pain , esophagus , esophagogastroduodenoscopy , achalasia , endoscopy , surgery
Initial esophagogastroduodenoscopy (EGD) shows segmental contractions right above the gastro‐esophageal junction, which may be related to the symptoms. A clip was applied during a previously performed manometry. There was no evidence of stricture. High‐resolution manometry before peroral endoscopic myotomy shows a hypercontractile esophagus expressed as distal contractile integral > 8000 mmHg cm s two times out of 10.