HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

A Patient with Vigorous Achalasia and Rapid Enlargement of an Epiphrenic Esophageal Diverticulum.

Abstract
A 47-year-old man was found to have a 3-cm epiphrenic esophageal diverticulum on an upper gastrointestinal (UGI) barium study. He developed the symptoms of heartburn approximately 12 months later. UGI endoscopy indicated non-erosive gastroesophageal reflux disease (NERD) and an epiphrenic esophageal diverticulum. A proton pump inhibitor (PPI) did not relieve the symptoms. An UGI barium study at that time showed that the epiphrenic esophageal diverticulum had enlarged to 7 cm, and esophageal manometry showed findings of achalasia and diffuse esophageal spasm (DES), thus vigorous achalasia was diagnosed. Resection of the epiphrenic esophageal diverticulum, myotomy, and fundoplication (the Heller-Dor procedure) were successfully performed and no postoperative symptoms were encountered.
AuthorsYasuhiro Tamura, Yasushi Funaki, Kazuori Adachi, Hisatsugu Noda, Shinya Izawa, Akihito Iida, Naotaka Ogasawara, Masahiko Miyaji, Makoto Sasaki, Kunio Kasugai
JournalInternal medicine (Tokyo, Japan) (Intern Med) Vol. 54 Issue 13 Pg. 1609-12 ( 2015) ISSN: 1349-7235 [Electronic] Japan
PMID26134191 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Proton Pump Inhibitors
Topics
  • Diverticulum, Esophageal (diagnosis, surgery)
  • Esophageal Achalasia (diagnosis, surgery)
  • Fundoplication (methods)
  • Heartburn (etiology, surgery)
  • Humans
  • Laparoscopy (methods)
  • Male
  • Middle Aged
  • Proton Pump Inhibitors (therapeutic use)
  • Treatment Outcome

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: