Peroral endoscopic myotomy for treatment of Guillain-Barre syndrome-associated achalasia: A rare case
Guillain-Barre syndrome(GBS)-associated achalasia is a very rare disease of uncertain cause. We report the case of a patient diagnosed with GBS-associated type Ⅰ achalasia who was successfully treated with peroral endoscopic myotomy(POEM). A 30-year-old man who was diagnosed with GBS 3 mo before was...
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| Veröffentlicht in: | World journal of gastroenterology : WJG 2017-02, Vol.23 (5), p.926-930 |
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| container_title | World journal of gastroenterology : WJG |
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| creator | Shin, Seung Kak Kim, Kyoung Oh Kim, Eui Joo Kim, Su Young Kim, Jung Ho Kim, Yoon Jae Chung, Jun-Won Kwon, Kwang An Park, Dong Kyun |
| description | Guillain-Barre syndrome(GBS)-associated achalasia is a very rare disease of uncertain cause. We report the case of a patient diagnosed with GBS-associated type Ⅰ achalasia who was successfully treated with peroral endoscopic myotomy(POEM). A 30-year-old man who was diagnosed with GBS 3 mo before was referred to our department with dysphagia and mealrelated regurgitation. The results of esophagography, endoscopy, and high-resolution manometry(HRM) revealed type Ⅰ achalasia. POEM that utilized a submucosal tunneling technique was performed to treat the GBS-associated type Ⅰ achalasia. After POEM, smooth passage of a contrast agent into the stomach was shown in follow-up esophagography, and followup HRM revealed a decrease in the mean integrated relaxation pressure 22.9 mm Hg to 9.6 mm Hg. The patient remained without dysphagia for 7 mo, even though the patient’s neurological problems were not fully resolved. POEM may be a safe and effective treatment for GBS-associated type Ⅰ achalasia. |
| doi_str_mv | 10.3748/wjg.v23.i5.926 |
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We report the case of a patient diagnosed with GBS-associated type Ⅰ achalasia who was successfully treated with peroral endoscopic myotomy(POEM). A 30-year-old man who was diagnosed with GBS 3 mo before was referred to our department with dysphagia and mealrelated regurgitation. The results of esophagography, endoscopy, and high-resolution manometry(HRM) revealed type Ⅰ achalasia. POEM that utilized a submucosal tunneling technique was performed to treat the GBS-associated type Ⅰ achalasia. After POEM, smooth passage of a contrast agent into the stomach was shown in follow-up esophagography, and followup HRM revealed a decrease in the mean integrated relaxation pressure 22.9 mm Hg to 9.6 mm Hg. The patient remained without dysphagia for 7 mo, even though the patient’s neurological problems were not fully resolved. POEM may be a safe and effective treatment for GBS-associated type Ⅰ achalasia.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.v23.i5.926</identifier><identifier>PMID: 28223738</identifier><language>eng</language><publisher>United States: Baishideng Publishing Group Inc</publisher><subject>Adult ; Case Report ; Esophageal Achalasia - diagnostic imaging ; Esophageal Achalasia - etiology ; Esophageal Achalasia - surgery ; Esophageal Sphincter, Lower - physiopathology ; Esophagoscopy - methods ; Guillain-Barre Syndrome - complications ; Humans ; Male ; Manometry ; Pressure</subject><ispartof>World journal of gastroenterology : WJG, 2017-02, Vol.23 (5), p.926-930</ispartof><rights>The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. 2017</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-ec3fdb2397607cabb7343c70ee62d17efbb25924601f1a05db3a9a74da013bd43</citedby><cites>FETCH-LOGICAL-c434t-ec3fdb2397607cabb7343c70ee62d17efbb25924601f1a05db3a9a74da013bd43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/84123X/84123X.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5296210/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5296210/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28223738$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shin, Seung Kak</creatorcontrib><creatorcontrib>Kim, Kyoung Oh</creatorcontrib><creatorcontrib>Kim, Eui Joo</creatorcontrib><creatorcontrib>Kim, Su Young</creatorcontrib><creatorcontrib>Kim, Jung Ho</creatorcontrib><creatorcontrib>Kim, Yoon Jae</creatorcontrib><creatorcontrib>Chung, Jun-Won</creatorcontrib><creatorcontrib>Kwon, Kwang An</creatorcontrib><creatorcontrib>Park, Dong Kyun</creatorcontrib><title>Peroral endoscopic myotomy for treatment of Guillain-Barre syndrome-associated achalasia: A rare case</title><title>World journal of gastroenterology : WJG</title><addtitle>World Journal of Gastroenterology</addtitle><description>Guillain-Barre syndrome(GBS)-associated achalasia is a very rare disease of uncertain cause. We report the case of a patient diagnosed with GBS-associated type Ⅰ achalasia who was successfully treated with peroral endoscopic myotomy(POEM). A 30-year-old man who was diagnosed with GBS 3 mo before was referred to our department with dysphagia and mealrelated regurgitation. The results of esophagography, endoscopy, and high-resolution manometry(HRM) revealed type Ⅰ achalasia. POEM that utilized a submucosal tunneling technique was performed to treat the GBS-associated type Ⅰ achalasia. After POEM, smooth passage of a contrast agent into the stomach was shown in follow-up esophagography, and followup HRM revealed a decrease in the mean integrated relaxation pressure 22.9 mm Hg to 9.6 mm Hg. The patient remained without dysphagia for 7 mo, even though the patient’s neurological problems were not fully resolved. POEM may be a safe and effective treatment for GBS-associated type Ⅰ achalasia.</description><subject>Adult</subject><subject>Case Report</subject><subject>Esophageal Achalasia - diagnostic imaging</subject><subject>Esophageal Achalasia - etiology</subject><subject>Esophageal Achalasia - surgery</subject><subject>Esophageal Sphincter, Lower - physiopathology</subject><subject>Esophagoscopy - methods</subject><subject>Guillain-Barre Syndrome - complications</subject><subject>Humans</subject><subject>Male</subject><subject>Manometry</subject><subject>Pressure</subject><issn>1007-9327</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU1v1DAQhi1ERZfClSPykUuCP-OYA1JbQVupUjnA2Zo4k11XSby1s0X77-uq2xVYsnyYx-_M6CHkE2e1NKr9-vd-XT8KWQddW9G8ISshuK1Eq9hbsuKMmcpKYU7J-5zvGRNSavGOnIpWCGlkuyL4C1NMMFKc-5h93AZPp31c4rSnQ0x0SQjLhPNC40CvdmEcIczVBaSENO_nPsUJK8g5-gAL9hT8BkbIAb7Rc5qgUB4yfiAnA4wZPx7eM_Ln54_fl9fV7d3VzeX5beWVVEuFXg59J6Q1DTMeus5IJb1hiI3oucGh64S2QjWMDxyY7jsJFozqgXHZ9Uqeke8vudtdN2Hvy9xlN7dNYYK0dxGC-78yh41bx0enhW0EZyXgyyEgxYcd5sVNIXssW88Yd9nx1jDbGmVMQesX1KeYc8Lh2IYz9-zGFTeuuHFBu-KmfPj873BH_FVGAeQhcRPn9UOY10fGsvb5WM1Uq6zWqtWyXKasfAKe4J2X</recordid><startdate>20170207</startdate><enddate>20170207</enddate><creator>Shin, Seung Kak</creator><creator>Kim, Kyoung Oh</creator><creator>Kim, Eui Joo</creator><creator>Kim, Su Young</creator><creator>Kim, Jung Ho</creator><creator>Kim, Yoon Jae</creator><creator>Chung, Jun-Won</creator><creator>Kwon, Kwang An</creator><creator>Park, Dong Kyun</creator><general>Baishideng Publishing Group Inc</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170207</creationdate><title>Peroral endoscopic myotomy for treatment of Guillain-Barre syndrome-associated achalasia: A rare case</title><author>Shin, Seung Kak ; Kim, Kyoung Oh ; Kim, Eui Joo ; Kim, Su Young ; Kim, Jung Ho ; Kim, Yoon Jae ; Chung, Jun-Won ; Kwon, Kwang An ; Park, Dong Kyun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-ec3fdb2397607cabb7343c70ee62d17efbb25924601f1a05db3a9a74da013bd43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Case Report</topic><topic>Esophageal Achalasia - diagnostic imaging</topic><topic>Esophageal Achalasia - etiology</topic><topic>Esophageal Achalasia - surgery</topic><topic>Esophageal Sphincter, Lower - physiopathology</topic><topic>Esophagoscopy - methods</topic><topic>Guillain-Barre Syndrome - complications</topic><topic>Humans</topic><topic>Male</topic><topic>Manometry</topic><topic>Pressure</topic><toplevel>online_resources</toplevel><creatorcontrib>Shin, Seung Kak</creatorcontrib><creatorcontrib>Kim, Kyoung Oh</creatorcontrib><creatorcontrib>Kim, Eui Joo</creatorcontrib><creatorcontrib>Kim, Su Young</creatorcontrib><creatorcontrib>Kim, Jung Ho</creatorcontrib><creatorcontrib>Kim, Yoon Jae</creatorcontrib><creatorcontrib>Chung, Jun-Won</creatorcontrib><creatorcontrib>Kwon, Kwang An</creatorcontrib><creatorcontrib>Park, Dong Kyun</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of gastroenterology : WJG</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shin, Seung Kak</au><au>Kim, Kyoung Oh</au><au>Kim, Eui Joo</au><au>Kim, Su Young</au><au>Kim, Jung Ho</au><au>Kim, Yoon Jae</au><au>Chung, Jun-Won</au><au>Kwon, Kwang An</au><au>Park, Dong Kyun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Peroral endoscopic myotomy for treatment of Guillain-Barre syndrome-associated achalasia: A rare case</atitle><jtitle>World journal of gastroenterology : WJG</jtitle><addtitle>World Journal of Gastroenterology</addtitle><date>2017-02-07</date><risdate>2017</risdate><volume>23</volume><issue>5</issue><spage>926</spage><epage>930</epage><pages>926-930</pages><issn>1007-9327</issn><eissn>2219-2840</eissn><abstract>Guillain-Barre syndrome(GBS)-associated achalasia is a very rare disease of uncertain cause. We report the case of a patient diagnosed with GBS-associated type Ⅰ achalasia who was successfully treated with peroral endoscopic myotomy(POEM). A 30-year-old man who was diagnosed with GBS 3 mo before was referred to our department with dysphagia and mealrelated regurgitation. The results of esophagography, endoscopy, and high-resolution manometry(HRM) revealed type Ⅰ achalasia. POEM that utilized a submucosal tunneling technique was performed to treat the GBS-associated type Ⅰ achalasia. After POEM, smooth passage of a contrast agent into the stomach was shown in follow-up esophagography, and followup HRM revealed a decrease in the mean integrated relaxation pressure 22.9 mm Hg to 9.6 mm Hg. The patient remained without dysphagia for 7 mo, even though the patient’s neurological problems were not fully resolved. 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| subjects | Adult Case Report Esophageal Achalasia - diagnostic imaging Esophageal Achalasia - etiology Esophageal Achalasia - surgery Esophageal Sphincter, Lower - physiopathology Esophagoscopy - methods Guillain-Barre Syndrome - complications Humans Male Manometry Pressure |
| title | Peroral endoscopic myotomy for treatment of Guillain-Barre syndrome-associated achalasia: A rare case |
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