Shen Naning, Wang Xin, Zhang Xiaoyin, Yao Liping, Xie Huahong, Zhang Hongbo
State Key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Disease and Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi' an, China.
J Gastrointestin Liver Dis. 2017 Jun;26(2):189-192. doi: 10.15403/jgld.2014.1121.262.wan.
Achalasia is very uncommon, and rarely does achalasia co-exist with esophageal varices. We present a 62-year-old woman who was diagnosed with both achalasia and esophageal varices in December 2014 and had a past history of hematemesis. The patient's achalasia symptoms' Eckardt score was 9, and her hepatic function was Child-Pugh grade A6. After comprehensive assessment of the patient's health and discussion of the pros and cons of various therapies for achalasia, the patient underwent a peroral endoscopic myotomy. She was symptom-free after the operation and had no recurrence of achalasia symptoms at 20-month follow-up. No adverse events were reported. Peroral endoscopic myotomy for achalasia with esophageal varices has not been previously reported in the English literature.
贲门失弛缓症非常罕见，且很少与食管静脉曲张并存。我们报告一名62岁女性，于2014年12月被诊断为贲门失弛缓症和食管静脉曲张，并有呕血病史。该患者贲门失弛缓症症状的埃卡德特评分是9分，其肝功能为Child-Pugh A6级。在对患者的健康状况进行全面评估并讨论了贲门失弛缓症各种治疗方法的利弊后，患者接受了经口内镜下肌切开术。术后患者症状消失，在20个月的随访中贲门失弛缓症症状未复发。未报告不良事件。英文文献中此前尚未报道过经口内镜下肌切开术治疗合并食管静脉曲张的贲门失弛缓症。
