Paudel Mukesh S, Khadka Dibas, Bhattarai Kumud, Basnet Bhupendra K, Agarwal Ashish
Gastroenterology, National Academy of Medical Sciences, Kathmandu, NPL.
Gastroenterology, Bir Hospital, National Academy of Medical Sciences, Kathmandu, NPL.
Cureus. 2025 Jan 15;17(1):e77467. doi: 10.7759/cureus.77467. eCollection 2025 Jan.
Achalasia cardia is a motility disorder of the esophagus characterized by a lack of esophageal peristalsis and failure of lower esophageal sphincter opening during swallowing. Symptomatic patients present with a long history of difficulty swallowing, along with chest pain and vomiting. Two male patients, 55 and 24 years old, with proven achalasia cardia by high-resolution esophageal manometry (HRM), underwent a successful peroral endoscopic myotomy (POEM) procedure at our center. This was the first time this procedure was done in Nepal. In this case report, we have demonstrated that a novel third-space procedure like POEM can be safely performed in a resource-limited country.
贲门失弛缓症是一种食管动力障碍性疾病，其特征为缺乏食管蠕动以及吞咽时食管下括约肌不能开放。有症状的患者有长期吞咽困难病史，伴有胸痛和呕吐。两名男性患者，年龄分别为55岁和24岁，经高分辨率食管测压（HRM）证实为贲门失弛缓症，在我们中心成功接受了经口内镜下肌切开术（POEM）。这是该手术首次在尼泊尔开展。在本病例报告中，我们证明了像POEM这样的新型第三间隙手术能够在资源有限的国家安全实施。
