Peroral endoscopic myotomy for treatment of Guillain-Barre syndrome-associated achalasia: A rare case
- Authors
- 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
- Issue Date
- 7-Feb-2017
- Publisher
- BAISHIDENG PUBLISHING GROUP INC
- Keywords
- Peroral endoscopic myotomy; Achalasia; Guillain-Barre syndrome
- Citation
- WORLD JOURNAL OF GASTROENTEROLOGY, v.23, no.5, pp.926 - 930
- Journal Title
- WORLD JOURNAL OF GASTROENTEROLOGY
- Volume
- 23
- Number
- 5
- Start Page
- 926
- End Page
- 930
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/6388
- DOI
- 10.3748/wjg.v23.i5.926
- ISSN
- 1007-9327
- 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. 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 meal-related regurgitation. The results of esophagography, endoscopy, and high-resolution manometry (HRM) revealed type. achalasia. POEM that utilized a submucosal tunneling technique was performed to treat the GBS-associated type. achalasia. After POEM, smooth passage of a contrast agent into the stomach was shown in follow-up esophagography, and follow-up HRM revealed a decrease in the mean integrated relaxation pressure 22.9 mmHg to 9.6 mmHg. 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. achalasia.
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