Peroral Endoscopic Myotomy in Diffuse Thickened Esophageal Wall in an Adolescent

• Main Authors: Alexander A. Smirnov, Aleksandr N. Burakov, Aleksandr N. Shvetsov, Egor V. Blinov, Kirill D. Semenikhin, Nadezhda V. Konkina, Sergey Y. Dvoreckij
• Format: Article
• Language: English
• Published: Karger Publishers 2018-08-01
• Series: Case Reports in Gastroenterology
• Subjects: Diffuse esophageal wall thickening; Esophagus; Peroral endoscopic myotomy; Achalasia; Alport syndrome
• Online Access: https://www.karger.com/Article/FullText/492212

Achalasia is an extremely rare pathology in children. Peroral endoscopic myotomy (POEM) is the gold standard for the surgical treatment of achalasia in adults, but only a limited number of cases of achalasia treatment using POEM in children have been published in the literature. Sometimes, high-resolution manometry signs of achalasia can mimic diffuse esophageal leiomyoma. This case report represents the first known successful performance of POEM on a 15-year-old female with diffuse thickening of the esophagus with signs and symptoms of achalasia and suspicion for Alport syndrome associated with diffuse esophageal leiomyoma.