Year 2022 / Volume 114 / Number 12
Letter
Peroral endoscopic myotomy in a 9-year-old girl with achalasia and annular stenosis in the lower esophagus

764-765

DOI: 10.17235/reed.2022.9134/2022

Xin Hu, Guangwu Chen, Qing Gu, Xiang Chen, Feng Ji,

Abstract
We present a case report of peroral endoscopic myotomy (POEM) in the treatment of pediatric patient with achalasia and annular stenosis in lower esophagus. A 9-year-old girl was newly diagnosed with achalasia. After assessment, the patient underwent POEM procedure and the retrievable stent was implanted in the esophagus. Postoperatively, lung CT suggested esophagopleural fistula, while gastroscopy showed that the metal stent was displaced to the esophageal lumen. A fistula was found in the lower esophageal segment after the stent was removed. Emergency operation of endoscopic perforation repair and esophageal stent replacement were performed. The patient recovered well in the next 6 months of follow-up.
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References
Talukdar R, Inoue H, Nageshwar Reddy D. Efficacy of peroral endoscopic myotomy (POEM) in the treatment of achalasia: a systematic review and meta-analysis. Surg Endosc. 2015;29(11):3030-46.
[3] Pandian TK, Naik ND, Fahy AS, et al. Laparoscopic esophagomyotomy for achalasia in children: A review. World J Gastrointest Endosc. 2016;8(2):56-66.
[4] Di Nardo G, Rossi P, Oliva S, et al. Pneumatic balloon dilation in pediatric achalasia: efficacy and factors predicting outcome at a single tertiary pediatric gastroenterology center. Gastrointest Endosc. 2012;76(5):927-32.
[5] Lee Y, Brar K, Doumouras AG, et al. Peroral endoscopic myotomy (POEM) for the treatment of pediatric achalasia: a systematic review and meta-analysis. Surg Endosc. 2019;33(6):1710-1720.
Hernández Mondragón ÓV, Gutiérrez-Aguilar R, García Contreras LF, et al. Conventional clips vs over-the-scope-clips for the closure of the entry site in POEM and G-POEM procedures. Rev Esp Enferm Dig. 2020;112(5):338-342.
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Hu X, Chen G, Gu Q, Chen X, Ji F. Peroral endoscopic myotomy in a 9-year-old girl with achalasia and annular stenosis in the lower esophagus. 9134/2022


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Publication history

Received: 14/08/2022

Accepted: 31/08/2022

Online First: 12/09/2022

Published: 12/12/2022

Article Online First time: 29 days

Article editing time: 120 days


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