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Long‐term outcome of peroral endoscopic myotomy for achalasia treatment in a 9‐year‐old female patient |
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| Authors: | Kanefumi Yamashita Hironari Shiwaku Ryuichiro Hirose Hiroki Kai Ryo Nakashima Daisuke Kato Richiko Beppu Shinsuke Takeno Takamitsu Sasaki Satoshi Nimura Akinori Iwasaki Haruhiro Inoue Yuichi Yamashita |
| Affiliation: | 1. Department of Gastroenterological Surgery, Fukuoka University School of Medicine, Fukuoka, Japan;2. Department of General Thoracic, Breast, and Pediatric Surgery, Fukuoka University School of Medicine, Fukuoka, Japan;3. Department of Pathology, Fukuoka University Faculty of Medicine, Fukuoka, Japan;4. Digestive Disease Center, Showa University Koto‐Toyosu Hospital, Tokyo, Japan |
| Abstract: | Achalasia is a primary motility disorder with incomplete lower esophageal sphincter relaxation; it has an annual incidence of 0.11 cases per 100 000 children. Peroral endoscopic myotomy (POEM) is a new endoscopic treatment method for achalasia. Reports about POEM in pediatric patients are rare. We herein report the case of a 9‐year‐old female patient with achalasia who underwent POEM. The patient underwent endoscopic balloon dilatation because medication was not effective at a previous hospital; however, endoscopic balloon dilatation was not effective either. She then underwent successful POEM upon admission at our hospital. The patient was symptom‐free at 2 years postoperatively with no signs of esophagitis in the absence of proton‐pump inhibitor therapy. |
| Keywords: | Achalasia child peroral endoscopic myotomy |