Year 2025 / Volume 117 / Number 3
Digestive Diseases Image
Coexisting achalasia and leiomyoma misdiagnosed as a submucosal tumor, successfully treated by simultaneous peroral endoscopic myotomy and submucosal tunneling endoscopic resection in the same tunnel

153-154

DOI: 10.17235/reed.2023.9736/2023

Yanyu Chen, Shan Gao, Deliang Liu, Hejun Zhou,

Abstract
Peroral endoscopic myotomy (POEM) is a safe and effective method in the treatment of achalasia. Meanwhile, submucosal tunneling endoscopic resection (STER) is a common endoscopic method for the treatment of submucosal tumors (SMT) in the upper digestive tract. However simultaneous POEM and STER for coexisting achalasia and esophageal SMT is rarely reported. A 40-year-old woman underwent esophagoscopy after dysphagia and vomiting for 20 years. The protruding submucosal lesion with normal overlying mucosa was found in the lower part of the esophagus, nearing cardia. Considering the persistent swallowing discomfort and vomiting symptoms, the patient underwent esophageal manometry and barium esophagram, and was finally diagnosed as achalasia with esophageal submucosal tumor. Finally, POEM and STER were performed simultaneously on the patient in the same tunnel. The patient was followed up for 4 months without recurrence or complaints. We herein report a case of achalasia with esophageal leiomyoma who underwent POEM and STER in the same tunnel to remove the mass and relieve the symptoms.
New comment
Comments
No comments for this article
References
[1] INOUE H, SHIWAKU H, IWAKIRI K, et al. Clinical practice guidelines for peroral endoscopic myotomy [J]. Digestive Endoscopy, 2018, 30(5): 563–579.
[2] TAN Y, LV L, DUAN T, et al. Comparison between submucosal tunneling endoscopic resection and video-assisted thoracoscopic surgery for large esophageal leiomyoma originating from the muscularis propria layer [J]. Surgical Endoscopy, 2016, 30(7): 3121–3127.
[3] TAN Y, CAO B, LIU D. Simultaneous peroral endoscopic myotomy and submucosal tunneling endoscopic resection for coexisting achalasia and a submucosal tumor [J]. Revista Española de Enfermedades Digestivas, 2020, 112.
Related articles

Letter

A case of achalasia associated with early esophageal cancer

DOI: 10.17235/reed.2024.10177/2023

Digestive Diseases Image

Type II achalasia with post-POEM recovery of esophageal motility

DOI: 10.17235/reed.2023.9420/2022

Letter

Infection with SARS-CoV-2 as a potential achalasia trigger

DOI: 10.17235/reed.2022.8975/2022

Digestive Diseases Image

Acute respiratory failure secondary to megaesophagus: think beyond COVID-19

DOI: 10.17235/reed.2022.8847/2022

Digestive Diseases Image

Severe drug esophagitis in a patient with achalasia

DOI: 10.17235/reed.2022.8476/2021

Digestive Diseases Image

Severe respiratory failure secondary to megaesophagus due to terminal achalasia

DOI: 10.17235/reed.2020.7672/2020

Original

Implementation of a peroral endoscopic myotomy program

DOI: 10.17235/reed.2020.7116/2020

Letter

Hypertensive panesophageal pressurization in type II achalasia

DOI: 10.17235/reed.2019.6414/2019

Letter

An unexpected cause of dysphagia: pleural mesothelioma

DOI: 10.17235/reed.2019.6024/2018

Case Report

Peroral endoscopic myotomy in pediatric jackhammer esophagus

DOI: 10.17235/reed.2018.5090/2017

Citation tools
Chen Y, Gao S, Liu D, Zhou H. Coexisting achalasia and leiomyoma misdiagnosed as a submucosal tumor, successfully treated by simultaneous peroral endoscopic myotomy and submucosal tunneling endoscopic resection in the same tunnel. 9736/2023


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 128 visits.
This article has been downloaded 7 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 22/05/2023

Accepted: 03/06/2023

Online First: 22/06/2023

Published: 06/03/2025

Article Online First time: 31 days

Article editing time: 654 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2025 y Creative Commons. The Spanish Journal of Gastroenterology