Open AccessPeroral endoscopic myotomy in a pediatric patient with refractory achalasia: a case report and review of the literature
Author(s) -
Lesly Calixto-Aguilar,
Evelyn Gonzales-Carazas,
Luis Marin Calderón,
Jorge Vásquez-Quiroga,
Edgar Alva Alva,
Paulo Bardalez-Cruz,
Fernando Palacios Salas
Publication year - 2021
Publication title -
revista de gastroenterología del perú
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.148
H-Index - 15
eISSN - 1609-722X
pISSN - 1022-5129
DOI - 10.47892/rgp.2021.411.1242
Subject(s) - achalasia , medicine , dysphagia , myotomy , surgery , regurgitation (circulation) , refractory (planetary science) , esophagus , high resolution manometry , physics , astrobiology
A 15-year-old male patient presented with dysphagia, regurgitation, weight loss and retrosternal pain. The diagnosis of achalasia was made 4 years before. The esophagogram revealed severe esophagus dilatation and the classic “bird-beak” termination. A Heller myotomy plus fundoplication and endoscopic balloon dilatation were conducted four months previously. Nevertheless, the symptoms persisted and the last high-resolution manometry study still showed achalasia type II. The patient underwent a peroral endoscopic esophageal myotomy (POEM). POEM is a feasible and safe procedure for experienced and properly- equipped health care delivery centers and could be used as a rescue treatment in refr e present the youngest patient with achalasia in our region who had a successful response to rescue POEM.