Current treatment of achalasia. A case report and literature review
Keywords:
achalasia, high-resolution manometry, Heller myotomy, Toupet fundoplicationAbstract
We report the case of 15 year old female with digestive symptoms, mainly dysphagia and chest pain. After being diagnosed with possible achalasia (compatible clinical), is confirmed by high-resolution manometry, surgical treatment is indicated (myotomy heller + fundoplication toupet), with minimally invasive surgery (laparoscopy), with a very favorable evolution, disappearing digestive symptoms and produced a remarkable recovery in a short time. We do a literature review of therapeutic options available and their main indications.
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Errázuriz J, De Barbieri F. Acalasia en paciente pediátrico: reporte de caso clínico y revisión de la literatura. Revista Chilena de Radiología 2013;19(4);174-176.
González B, López V. Acalasia: a propósito de un caso. Centro Sanitario Rondilla I, Valladolid, España, 1138-3593/, 2010 Elsevier España, S.L. y SEMERGEN. doi:10.1016/j.semerg.2011.03.002
Hani A, Leguízamo A, Carvajal J, Mosquera G, Costa V. Cómo realizar e interpretar una manometría esofágica de alta resolución, revisión de tema. Rev Col Gastroenterol 2015;30(1):74-83.
Santander C., Ruiz de León A, et al. Manometría esofágica de alta resolución, Tratado de neurogastroenterología y motilidad digestiva. Lacima. Editorial Médica Panamericana. 2015.
Carlson D, Pandolfino J. High-Resolution Manometry in Clinical Practice. Gastroenterology & Hepatology 2015;11(6):374-384.
Bowers S. Esophageal Motility Disorders (article in press). Surg Clin N Am 2015). http://dx.doi.org/10.1016/j.suc.2015.02.003
Ates F, Vaezi M. The pathogenesis and management of achalasia: current status and future directions. Division of Gastroenterology, Hepatology, and Nutrition, Center for Swallowing and Esophageal Disorders. Vanderbilt University Medical Center, Nashville, TN, USA. Gut and Liver 2015;9(4):449-463.
Moritz J, Foltys D, Scheuermann U, et al. Achalasia with megaesophagus and tracheal compression in a young patient: a case report. International Journal of Surgery Case Reports 2015;14:16-18. http://dx.doi.org/10.1016/j.ijscr.2015.06.020
González G. Acalasia esofagica: correlacion entre la clinica, radiologia y estudios fisiológicos. Universidad Autonoma de Barcelona, Departamento de Cirugía, Hospital de Mataro, septiembre Barcelona, España. 2011.
Vaezi M, Pandolfino J, Vela M. ACG, Clinical Guideline: diagnosis and management of achalasia. American College of Gastroenterology, Practice Guidelines, July 2013. doi: 10.1038/ajg.2013.196
Boeckxstaens G, Zaninotto G, Richter J. Achalasia. University Hospital of Leuven, Belgium. Lancet 2014;383:83-93. http://dx.doi.org/10.1016/ S0140-6736(13)60651-0
Torresan F, Ioannou A, Azzaroli F, Bazzoli F. Treatment of achalasia in the era of high-resolution manometry. Department of Medical and Surgical Sciences, Gastroenterology and Endoscopy Unit, Policlínico Sant’ Orsola-Malpighi, University of Bologna, Bologna, Italy. Annals of Gastroenterology 2015;28:301-308.
Nassri A, Ramzan Z. Pharmacotherapy for the management of achalasia: Current status, challenges and future directions, World J Gastrointest Pharmacol Ther 2015;6(4):145-155. Doi: 10.4292/wjgpt.v6.i4.145
Allaix M, Patti M et al. Endoscopic dilatation, Heller myotomy, and peroral endoscopic myotomy treatment modalities for achalasia. Center for Esophageal Diseases, Department of Surgery, University of Chicago, Pritzker School of Medicine, 5841 South Maryland Avenue, MC 50 5, Room G-207, Chicago, IL 60637, USA. Surg Clin N Am 2015; 95:567-578. doi.org/10.1016/j.suc.2015.02.009
Stavropoulos S, Modayil R, Friedel D. Achalasia. gastrointest endoscopy. Clin N Am 2013;23:53-75. http://dx.doi.org/10.1016/j.giec.2012.10.008
Peter J, Kahrilas1, Guy Boeckxstaens. The spectrum of achalasia: lessons from studies of pathophysiology and high-resolution manometry. Gastroenterology 2013;145:954-965. http://dx.doi.org/10.1053/j.gastro.2013.08.038
Loviscek M, Wright A, Hinojosa M, et al. Recurrent dysphagia after Heller myotomy: is esophagectomy always the answer? J Am Coll Surg 2013;216(4):736-743; discussion 743-734.
Lewis F, Britt F, Sachdeva K, Gabler P, et al. Selected readings in general surgery. Esophagus, Stomach & Duodenum, part I. American
College of Surgeons. www.facs.org/publications/srgs srgs Vol 40 | 6 | 2014
Ledezma E. Surgical treatment of sigmoid megaesophagus, achalasia by grade IV. Rev Med La Paz 2013 julio-diciembre;19(2).
Krill J, Naik R, Vaezi M. Clinical management of achalasia: current state of the art. University Medical Center, Nashville, TN, USA. Clinical and Experimental Gastroenterology 2016:9:71-82. http://dx.doi.org/10.2147/CEG.S84019
SAGES, Guidelines for surgical treatment of esophageal achalasia, Society of American gastrointestinal and endoscopic Surgeons, 2012, http://www.sages.org
Pandolfino J, Kahrilas P. Presentation, diagnosis; and management of achalasia, Perspectives in Clinical Gastroenterology and Hepatology. Northwestern University, Feinberg School of Medicine, Chicago, Illinois. Clinical Gastroenterology and Hepatology 2013;11:887-897. http://dx.doi.org/10.1016/j.cgh.2013.01.032
Tomasko J, Augustin T, Tung T, et al. Quality of life comparing Dor an Toupet after Heller miotomy for achalasia, Department of Surgery, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA. Journal of the Society of Laparoendoscopic Surgeons. 2014.
Ming-Tian W, Ya-Zhou H, Bing X. Is Dor fundoplication optimum after laparoscopic Hellermyotomy for achalasia? A meta-analysis. World J Gastroenterol 2013;19(43):7804-7812. doi:10.3748/wjg.v19.i43.7804
Kurian A, Bhayani N, Sharata A. Partial anterior vs partial posterior fundoplication following transabdominal esophagocardiomyotomy for achalasia of the esophagus. Meta-regression of objective postoperative
gastroesophageal reflux and dysphagia. JAMA Surg 2013;148(1):85-90. www. jamasurg.com
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Copyright (c) 2016 Jhon Castillo León, Felipe Pacheco Barzallo, Williams Arias Garzón
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