Case report: Peroral endoscopic myotomy for acute pandysautonomia-associated distal esophageal spasm in a child

被引:0
|
作者
Zhang, Hanhua [1 ]
Chi, Biyun [2 ]
Wang, Fengfan [1 ]
Shao, Pei [1 ]
Liu, Huanyu [1 ]
Fang, Ying [1 ]
机构
[1] Xian Childrens Hosp, Dept Gastroenterol, Xian, Peoples R China
[2] Xian Med Univ, Xian, Peoples R China
来源
FRONTIERS IN PEDIATRICS | 2023年 / 10卷
关键词
children; acute pandysautonomia; distal esophageal spasm; POEM; rare case; LONG-TERM OUTCOMES; MOTILITY DISORDERS; ACHALASIA; EXPERIENCE; PATIENT;
D O I
10.3389/fped.2022.935915
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Acute pandysautonomia-associated distal esophageal spasm is a rare disease with an unclear etiology. Here, we describe a 12-year-old boy with an acute pandysautonomia-associated distal esophageal spasm who was treated using a peroral endoscopic myotomy (POEM). The patient's clinical features included recurrent dysphagia, nausea, vomiting, growth retardation, and signs of autonomic nerve dysfunction (e.g., a decreased production of tears and sweat, and an increased production of saliva). Signs of the distal esophageal spasm were visible in upper gastrointestinal radiography, endoscopy, and high-resolution esophageal manometry. After the POEM, the patient exhibited improvements in nausea and vomiting, and his dysphagia symptoms were relieved by the 6-month follow-up visit. However, the patient's neurological problems persisted. The satisfactory short-term clinical responses in our patient suggest that POEM is feasible, safe, and effective for the treatment of acute pandysautonomia-associated distal esophageal spasms in children.
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页数:5
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