Long-term outcome of peroral endoscopic myotomy for achalasia treatment in a 9-year-old female patient

Asian J Endosc Surg. 2016 Nov;9(4):332-335. doi: 10.1111/ases.12296. Epub 2016 May 18.

Abstract

Achalasia is a primary motility disorder with incomplete lower esophageal sphincter relaxation; it has an annual incidence of 0.11 cases per 100 000 children. Peroral endoscopic myotomy (POEM) is a new endoscopic treatment method for achalasia. Reports about POEM in pediatric patients are rare. We herein report the case of a 9-year-old female patient with achalasia who underwent POEM. The patient underwent endoscopic balloon dilatation because medication was not effective at a previous hospital; however, endoscopic balloon dilatation was not effective either. She then underwent successful POEM upon admission at our hospital. The patient was symptom-free at 2 years postoperatively with no signs of esophagitis in the absence of proton-pump inhibitor therapy.

Keywords: Achalasia; child; peroral endoscopic myotomy.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Esophageal Achalasia / complications
  • Esophageal Achalasia / diagnosis
  • Esophageal Achalasia / surgery*
  • Esophageal Sphincter, Lower / surgery*
  • Esophagoscopy*
  • Female
  • Humans
  • Mouth
  • Natural Orifice Endoscopic Surgery*
  • Time Factors
  • Treatment Outcome