RSS-Feed abonnieren
Bitte kopieren Sie die angezeigte URL und fügen sie dann in Ihren RSS-Reader ein.
https://www.thieme-connect.de/rss/thieme/de/10.1055-s-00000012.xml
Endoscopy 2015; 47(09): 855-857
DOI: 10.1055/s-0034-1391985
DOI: 10.1055/s-0034-1391985
Case series
Nutcracker and jackhammer esophagus treatment: a three-case survey, including two novel cases of eosinophilic infiltration into the muscularis propria
Weitere Informationen
Publikationsverlauf
submitted 10. Januar 2015
accepted after revision 16. Februar 2015
Publikationsdatum:
11. Mai 2015 (online)
Nutcracker esophagus and jackhammer esophagus are largely unknown motility disorders, also sometimes called hypertensive and hypercontractile peristalsis, respectively. There is currently no standardized diagnostic or management plan for these diseases. Here, we report on three patients with jackhammer/nutcracker esophagus who were treated with either peroral endoscopic myotomy or a systemic steroid regimen, focusing particularly on two novel presentations of nutcracker and jackhammer esophagus involving eosinophilic infiltration into the muscularis propria, and their responses to both interventions.
-
References
- 1 Bredenoord AJ, Fox M, Kahrilas PJ et al. Chicago classification criteria of esophageal motility disorders defined in high resolution esophageal pressure topography. Neurogastroenterol Motil 2012; 24: 57-65
- 2 Roman S, Tutuian R. Esophageal hypertensive peristaltic disorders. Neurogastroenterol Motil 2012; 24: 32-39
- 3 Cattau Jr. EL, Castell DO, Johnson DA et al. Diltiazem therapy for symptoms associated with nutcracker esophagus. Am J Gastroenterol 1991; 86: 272-276
- 4 Vanuytsel T, Bisschops R, Farre R et al. Botulinum toxin reduces Dysphagia in patients with nonachalasia primary esophageal motility disorders. Clin Gastroenterol Hepatol 2013; 11: 1115-1121
- 5 Inoue H, Minami H, Kobayashi Y et al. Peroral endoscopic myotomy (POEM) for esophageal achalasia. Endoscopy 2010; 42: 265-271
- 6 Khashab MA, Messallam AA, Saxena P et al. Jet injection of dyed saline facilitates efficient peroral endoscopic myotomy. Endoscopy 2014; 46: 298-301
- 7 Sato H, Takeuchi M, Takahashi K. Eosinophilic infiltration of the muscularis propria in a patient with jackhammer esophagus treated with per-oral endoscopic myotomy. Clin Gastroenterol Hepatol 2014; DOI: 10.1016/j.cgh.2014.11.005.
- 8 Dellon ES, Gonsalves N, Hirano I et al. ACG clinical guideline: Evidenced based approach to the diagnosis and management of esophageal eosinophilia and eosinophilic esophagitis (EoE). Am J Gastroenterol 2013; 108: 679-692 ; quiz 693
- 9 Philpott H, Nandurkar S, Thien F et al. Eosinophilic esophagitis: A clinicopathological review. Pharmacol Ther DOI: 2014.10.1016/j.pharmthera.2014.09.001.
- 10 Talley NJ, Shorter RG, Phillips SF et al. Eosinophilic gastroenteritis: a clinicopathological study of patients with disease of the mucosa, muscle layer, and subserosal tissues. Gut 1990; 31: 54-58