Department of Gastroenterology, Hôpital Trousseau, CHRU de Tours, Tours, France.
Department of Cardiology, Hôpital Trousseau, CHRU de Tours, Tours, France.
Neurogastroenterol Motil. 2020 Nov;32(11):e13886. doi: 10.1111/nmo.13886. Epub 2020 Jun 1.
The pathophysiology of jackhammer esophagus is complex and remains unclear. Radiofrequency catheter ablation is indicated for highly symptomatic and drug-refractory atrial fibrillation. This technique can induce esophageal and nerve lesions, due to thermal injury. In this report, we describe a case of hypercontractile esophagus diagnosed by HRM (high-resolution manometry). Esophageal symptoms and HRM normalized immediately after RFCA, and we discuss the pathophysiology of hypercontractile esophagus.
贲门失弛缓症的病理生理学较为复杂，目前尚不清楚。射频导管消融术适用于症状严重且药物治疗无效的心房颤动。该技术可通过热损伤导致食管和神经损伤。在本报告中，我们描述了一例通过高分辨率测压法（HRM）诊断的高收缩性食管病例。射频导管消融术后，食管症状和 HRM 立即恢复正常，我们讨论了高收缩性食管的病理生理学。
