Progression of Jackhammer Esophagus to Type II Achalasia.
- Author:
Jason ABDALLAH
1
;
Ronnie FASS
Author Information
- Publication Type:Case Report
- Keywords: Esophageal achalasia; Esophageal motility disorders; Esophagus; Manometry
- MeSH: Deglutition Disorders; Endoscopy; Esophageal Achalasia*; Esophageal Motility Disorders; Esophagus*; Female; Humans; Manometry; Prospective Studies; Proton Pumps; Weight Loss
- From:Journal of Neurogastroenterology and Motility 2016;22(1):153-156
- CountryRepublic of Korea
- Language:English
- Abstract: It has been suggested that patients with certain motility disorders may progress overtime to develop achalasia. We describe a 66 year-old woman who presented with dysphagia for solids and liquids for a period of 18 months. Her initial workup showed normal endoscopy and non-specific esophageal motility disorder on conventional manometry. Six months later, due to persistence of symptoms, the patient underwent a high resolution esophageal manometry (HREM) demonstrating jackhammer esophagus. The patient was treated with a high dose proton pump inhibitor but without resolution of her symptoms. During the last year, the patient reported repeated episodes of food regurgitation and a significant weight loss. A repeat HREM revealed type II achalasia. Multiple case reports, and only a few prospective studies have demonstrated progression from certain esophageal motility disorders to achalasia. However, this report is the first to describe a case of jackhammer esophagus progressing to type II achalasia.
