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KMID : 0812020060120020177
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Korean Journal of Neurogastroenterology and Motility
2006 Volume.12 No. 2 p.177 ~ p.180
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A Case of Achalasia Treated by Two Sessions of Balloon Dilatation: the Long Term Follow-up
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Han Seo-Ryong
Park Moo-In
Moon Won
Park Seun-Ja
Kim Kyu-Jong
Jung Gyoo-Sik
Kim Nang-Hee
Kim Sung-Hoon
Nam Ji-Hyeon
Park Ji-Eun
Kim Kyeong-Mi
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Abstract
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Achalasia is a motility disorder of the esophagus that’s characterized by the loss of inhibitory neurons in the lower esophagus and lower esophageal sphincter. The primary motility disorders of the esophagus are usually considered to include two disease entities: achalasia and diffuse esophageal spasm. These two conditions are part of a spectrum of related motor disorders. Achalasia can change to diffuse esophageal spasm and show the return of peristalsis after balloon dilatation. We experienced a 64-year-old female patient who complained of dysphagia. Achalasia was diagnosed by performing barium esophagography and esophagogastroduodenoscopy, and by the typical esophageal manometric findings. After performing two sessions of balloon dilatation, the basal lower esophageal sphincter pressure decreased and peristalsis of lower esophagus returned. When the patient again complained of dysphagia, the basal lower esophageal
sphincter pressure was increased and peristalsis was not seen. Consequently, we could observe the spectrum and natural course of this disease before and after treatment for achalasia. (Kor J Neuro-gastroenterol Motil 2006;12:177-180)
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KEYWORD
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Achalasia, Balloon dilatation, Peristalsis, Sphincter
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