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.
引用
收藏
页数:5
相关论文
共 50 条
  • [41] Utilization of Magnesium in Opioid-Free Anesthesia for Peroral Endoscopic Myotomy: A Case Report
    Kim, Richard K.
    Hwang, Joo H.
    Tsui, Ban C.
    A & A PRACTICE, 2021, 15 (01): : e01372
  • [42] Peroral Endoscopic Myotomy (POEM) in a Patient with Complete Heart Block-a Case Report
    Dubale, Nachiket
    Date, Suhas
    Pujari, Rajendra
    Bapaye, Amol
    INDIAN JOURNAL OF SURGERY, 2013, 75 (06) : 504 - 507
  • [43] Atrial Fibrillation as an Unexpected Complication After Peroral Endoscopic Myotomy (POEM): A Case Report
    Saleem, Abdulaziz M.
    Hennessey, Hooman
    von Renteln, Daniel
    Vassiliou, Melina C.
    SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, 2014, 24 (05): : E196 - E199
  • [44] First splenic rupture following an endoscopic esophageal myotomy: A case report
    Maniere, Thibaut
    Aboudan, Chadi
    Deslauriers, Nancy
    Pichette, Maude
    Bergeron, Eric
    WORLD JOURNAL OF GASTROINTESTINAL ENDOSCOPY, 2021, 13 (06): : 184 - 188
  • [45] Anesthetic considerations for patients with esophageal achalasia undergoing peroral endoscopic myotomy: a retrospective case series review
    Loeser, Benjamin
    Werner, Yuki B.
    Punke, Mark A.
    Saugel, Bernd
    Haas, Sebastian
    Reuter, Daniel A.
    Mann, Oliver
    Dupree, Anna
    Schachschal, Guido
    Roesch, Thomas
    Petzoldt, Martin
    CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 2017, 64 (05): : 480 - 488
  • [46] Peroral endoscopic mediastinal tunneling myotomy for esophageal achalasia: the first case treated in mediastinal tunnel Commentary
    Hayat, Maham
    Draganov, Peter V.
    Yang, Dennis
    ENDOSCOPY, 2024, 56 (09) : 718 - 718
  • [47] A case report of achalasia and large epiphrenic diverticulum treated by peroral endoscopic myotomy combined with diverticuloseptotomy
    Kiosov, O. M.
    Tkachov, V. S.
    Hulevskyi, S. M.
    Korobov, M. V.
    ZAPOROZHYE MEDICAL JOURNAL, 2023, 25 (03) : 270 - 273
  • [48] Peroral endoscopic myotomy assisted with an elastic ring for achalasia with obvious submucosal fibrosis: A case report
    Wang, Bai-Hui
    Li, Ru-Yuan
    WORLD JOURNAL OF CLINICAL CASES, 2022, 10 (33) : 12257 - 12260
  • [49] Retrograde gastroesophageal intussusception after peroral endoscopic myotomy in a patient with achalasia cardia A case report
    Khan, Samiullah
    Su, Shuai
    Jiang, Kui
    Wang, Bang-mao
    MEDICINE, 2018, 97 (02)
  • [50] Expiratory Central Airway Collapse and Dynamic Hyperinflation During Peroral Endoscopic Myotomy: A Case Report
    Nielsen, Emma I.
    Tresierra, Steve
    Cenkowski, Marta
    Bechara, Robert
    Klar, Gregory
    Mizubuti, Glenio B.
    A & A PRACTICE, 2024, 18 (06) : e01799