Self-expandable metal stent placement in a child for treatment of achalasia after failed Heller myotomy
Background and study aims Childhood achalasia treatment remains inconclusive. What is next after myotomy failure? Repeated pneumatic-dilation put patients at greater risk of perforation with possible symptom recurrence. We report on a 12-year-old patient with a 1-year history of achalasia whom under...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2018-01-01
|
| Series: | Endoscopy International Open |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-118745 |
| _version_ | 1818514315708203008 |
|---|---|
| author | Roberto Gugig Guillermo Muñoz Jurado Clifton Huang Roberto Oleas Carlos Robles-Medranda |
| author_facet | Roberto Gugig Guillermo Muñoz Jurado Clifton Huang Roberto Oleas Carlos Robles-Medranda |
| author_sort | Roberto Gugig |
| collection | DOAJ |
| description | Background and study aims Childhood achalasia treatment remains inconclusive. What is next after myotomy failure? Repeated pneumatic-dilation put patients at greater risk of perforation with possible symptom recurrence. We report on a 12-year-old patient with a 1-year history of achalasia whom underwent Heller myotomy with fundoplication and recurred with symptoms 1 week after surgery. Pneumatic dilatation was considered but not done because of the risk of esophageal perforation. The decision was made to place a fully covered self-expanding metallic stent (FC-SEMS) for 3 months, which resolved the stenosis as confirmed by esophagram. The patient has remained asymptomatic since the procedure was performed 2 years ago. FC-SEMS is an alternative for treatment of refractory achalasia in children who do not respond to conventional treatment. |
| first_indexed | 2024-12-11T00:14:01Z |
| format | Article |
| id | doaj.art-025ec03ba0df4198b95fbf7289ae6fcd |
| institution | Directory Open Access Journal |
| issn | 2364-3722 2196-9736 |
| language | English |
| last_indexed | 2024-12-11T00:14:01Z |
| publishDate | 2018-01-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Endoscopy International Open |
| spelling | doaj.art-025ec03ba0df4198b95fbf7289ae6fcd2022-12-22T01:28:01ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362018-01-010601E64E6610.1055/s-0043-118745Self-expandable metal stent placement in a child for treatment of achalasia after failed Heller myotomyRoberto Gugig0Guillermo Muñoz Jurado1Clifton Huang2Roberto Oleas3Carlos Robles-Medranda4University of California San Francisco and Valley Children’s Healthcare, San Francisco, California, United StatesInstituto Ecuatoriano de Enfermedades Digestivas, University Hospital OMNI, Guayaquil, Ecuador University of California San Francisco and Valley Children’s Healthcare, San Francisco, California, United StatesInstituto Ecuatoriano de Enfermedades Digestivas, University Hospital OMNI, Guayaquil, Ecuador Instituto Ecuatoriano de Enfermedades Digestivas, University Hospital OMNI, Guayaquil, Ecuador Background and study aims Childhood achalasia treatment remains inconclusive. What is next after myotomy failure? Repeated pneumatic-dilation put patients at greater risk of perforation with possible symptom recurrence. We report on a 12-year-old patient with a 1-year history of achalasia whom underwent Heller myotomy with fundoplication and recurred with symptoms 1 week after surgery. Pneumatic dilatation was considered but not done because of the risk of esophageal perforation. The decision was made to place a fully covered self-expanding metallic stent (FC-SEMS) for 3 months, which resolved the stenosis as confirmed by esophagram. The patient has remained asymptomatic since the procedure was performed 2 years ago. FC-SEMS is an alternative for treatment of refractory achalasia in children who do not respond to conventional treatment.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-118745 |
| spellingShingle | Roberto Gugig Guillermo Muñoz Jurado Clifton Huang Roberto Oleas Carlos Robles-Medranda Self-expandable metal stent placement in a child for treatment of achalasia after failed Heller myotomy Endoscopy International Open |
| title | Self-expandable metal stent placement in a child for treatment of achalasia after failed Heller myotomy |
| title_full | Self-expandable metal stent placement in a child for treatment of achalasia after failed Heller myotomy |
| title_fullStr | Self-expandable metal stent placement in a child for treatment of achalasia after failed Heller myotomy |
| title_full_unstemmed | Self-expandable metal stent placement in a child for treatment of achalasia after failed Heller myotomy |
| title_short | Self-expandable metal stent placement in a child for treatment of achalasia after failed Heller myotomy |
| title_sort | self expandable metal stent placement in a child for treatment of achalasia after failed heller myotomy |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-118745 |
| work_keys_str_mv | AT robertogugig selfexpandablemetalstentplacementinachildfortreatmentofachalasiaafterfailedhellermyotomy AT guillermomunozjurado selfexpandablemetalstentplacementinachildfortreatmentofachalasiaafterfailedhellermyotomy AT cliftonhuang selfexpandablemetalstentplacementinachildfortreatmentofachalasiaafterfailedhellermyotomy AT robertooleas selfexpandablemetalstentplacementinachildfortreatmentofachalasiaafterfailedhellermyotomy AT carlosroblesmedranda selfexpandablemetalstentplacementinachildfortreatmentofachalasiaafterfailedhellermyotomy |