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Case Reports
. 2016 Apr;4(4):E459-60.
doi: 10.1055/s-0042-103240. Epub 2016 Mar 30.

Pneumatic dilation for achalasia in a patient with esophageal varices

Etienne Désilets  1 , Arthur Belle  2 , Christian Boustière  2 , Arthur Laquière  2
Affiliations
Case Reports

Pneumatic dilation for achalasia in a patient with esophageal varices

Etienne Désilets et al. Endosc Int Open. 2016 Apr.

Abstract

Previous reports of simultaneous presence of esophageal varices (EV) and achalasia suggest placement of a transjugular intrahepatic portosystemic shunt (TIPS) and surgical myotomy or endoscopic therapy. We report the case of a 64-year-old man who received anticoagulant therapy for a myeloproliferative disorder with extensive portal thrombosis which was a contraindication to placement of a TIPS. .

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Conflict of interest statement

Competing interests: None

Figures

Fig. 1
Fig. 1
EUS demonstrating absence of external compression or neoplastic disease and presence of esophageal collateral venous circulation.
Fig. 2
Fig. 2
Manometry confirming the diagnosis of type 1 achalasia.
Fig. 3
Fig. 3
Fluoroscopy showing balloon in place.
Fig. 4
Fig. 4
Endoscopic view after pneumatic dilation.
Fig. 5
Fig. 5
Fluoroscopic view of stent implantation.
See this image and copyright information in PMC

References

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    1. Lakhtakia S, Monga A, Gupta R. et al.Achalasia cardia with esophageal varix managed with endoscopic ultrasound-guided botulinum toxin injection. Indian J Gastroenterol. 2011;30:277–279. - PubMed
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