1.Progression of Jackhammer Esophagus to Type II Achalasia.
Journal of Neurogastroenterology and Motility 2016;22(1):153-156
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.
Deglutition Disorders
;
Endoscopy
;
Esophageal Achalasia*
;
Esophageal Motility Disorders
;
Esophagus*
;
Female
;
Humans
;
Manometry
;
Prospective Studies
;
Proton Pumps
;
Weight Loss
2.Progression of Jackhammer Esophagus to Achalasia: Author's Reply.
Journal of Neurogastroenterology and Motility 2016;22(2):350-350
No abstract available.
Esophageal Achalasia*
;
Esophagus*