Smirnov Alexander A, Burakov Aleksandr N, Shvetsov Aleksandr N, Blinov Egor V, Semenikhin Kirill D, Konkina Nadezhda V, Dvoreckij Sergey Y
Pavlov First Saint Petersburg State Medical University, Saint Petersburg, Russian Federation.
Case Rep Gastroenterol. 2018 Aug 23;12(2):497-503. doi: 10.1159/000492212. eCollection 2018 May-Aug.
Achalasia is an extremely rare pathology in children. Peroral endoscopic myotomy (POEM) is the gold standard for the surgical treatment of achalasia in adults, but only a limited number of cases of achalasia treatment using POEM in children have been published in the literature. Sometimes, high-resolution manometry signs of achalasia can mimic diffuse esophageal leiomyoma. This case report represents the first known successful performance of POEM on a 15-year-old female with diffuse thickening of the esophagus with signs and symptoms of achalasia and suspicion for Alport syndrome associated with diffuse esophageal leiomyoma.
贲门失弛缓症在儿童中是一种极其罕见的病症。经口内镜下肌切开术（POEM）是成人贲门失弛缓症外科治疗的金标准，但文献中仅发表了有限数量的儿童贲门失弛缓症采用POEM治疗的病例。有时，贲门失弛缓症的高分辨率测压征象可类似于弥漫性食管平滑肌瘤。本病例报告展示了首例已知的成功对一名15岁女性实施POEM手术的案例，该女性食管弥漫性增厚，有贲门失弛缓症的体征和症状，且怀疑与弥漫性食管平滑肌瘤相关的奥尔波特综合征。
