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Endosc Int Open 2016; 04(04): E459-E460
DOI: 10.1055/s-0042-103240
Case report
© Georg Thieme Verlag KG Stuttgart · New York

Pneumatic dilation for achalasia in a patient with esophageal varices

Etienne Désilets
1   Charles-Lemoyne Hospital, Gastroenterology Department, Longueuil, Canada
,
Arthur Belle
2   Saint Joseph Hospital, Hepato-gastro-enterology Department, Marseille, France
,
Christian Boustière
2   Saint Joseph Hospital, Hepato-gastro-enterology Department, Marseille, France
,
Arthur Laquière
2   Saint Joseph Hospital, Hepato-gastro-enterology Department, Marseille, France
› Author Affiliations
Further Information

Publication History

submitted: 25 November 2015

accepted after revision: 08 February 2016

Publication Date:
30 March 2016 (online)

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Background and study aims: 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. 

 

  • References

  • 1 Pinillos H, Legnani P, Schiano T. Achalasia in a patient with gastroesophageal varices: problematic treatment decisions. Dig Dis Sci 2006; 51: 31-33
    CrossrefPubMedGoogle Scholar
  • 2 Lozano-Lanagrán M, Lavín-Castejón I, Alcaín-Martínez G. Treatment of achalasia with botulinum toxin injection guided by endoscopic ultrasonography in a patient with esophageal varices. Rev Esp Enferm Dig 2011; 103: 663-664
    CrossrefPubMedGoogle Scholar
  • 3 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
    CrossrefPubMedGoogle Scholar
  • 4 Eckardt VF. Clinical presentations and complications of achalasia. Gastrointest Endosc Clin N Am 2001; 11: 281-292
    CrossrefPubMedGoogle Scholar