Endoscopy 2015; 47(09): 855-857
DOI: 10.1055/s-0034-1391985
Case series
© Georg Thieme Verlag KG Stuttgart · New York

Nutcracker and jackhammer esophagus treatment: a three-case survey, including two novel cases of eosinophilic infiltration into the muscularis propria

Hiroki Sato
1   Division of Gastroenterology and Hepatology, Niigata University Medical and Dental Hospital, Niigata, Japan
,
Manabu Takeuchi
1   Division of Gastroenterology and Hepatology, Niigata University Medical and Dental Hospital, Niigata, Japan
,
Kazuya Takahashi
1   Division of Gastroenterology and Hepatology, Niigata University Medical and Dental Hospital, Niigata, Japan
,
Yuichi Sato
1   Division of Gastroenterology and Hepatology, Niigata University Medical and Dental Hospital, Niigata, Japan
,
Satoru Hashimoto
1   Division of Gastroenterology and Hepatology, Niigata University Medical and Dental Hospital, Niigata, Japan
,
Kenichi Mizuno
1   Division of Gastroenterology and Hepatology, Niigata University Medical and Dental Hospital, Niigata, Japan
,
Kenji Suzuki
1   Division of Gastroenterology and Hepatology, Niigata University Medical and Dental Hospital, Niigata, Japan
,
Masaaki Kobayashi
1   Division of Gastroenterology and Hepatology, Niigata University Medical and Dental Hospital, Niigata, Japan
,
Terasu Honma
2   Department of Gastroenterology and Hepatology, Saiseikai Niigata Daini Hospital, Niigata, Japan
,
Haruhiro Inoue
3   Digestive Disease Center, Showa University, Koto Toyosu Hospital, Tokyo, Japan
,
Shuji Terai
1   Division of Gastroenterology and Hepatology, Niigata University Medical and Dental Hospital, Niigata, Japan
› Author Affiliations
Further Information

Publication History

submitted 10 January 2015

accepted after revision 16 February 2015

Publication Date:
11 May 2015 (online)

Preview

Nutcracker esophagus and jackhammer esophagus are largely unknown motility disorders, also sometimes called hypertensive and hypercontractile peristalsis, respectively. There is currently no standardized diagnostic or management plan for these diseases. Here, we report on three patients with jackhammer/nutcracker esophagus who were treated with either peroral endoscopic myotomy or a systemic steroid regimen, focusing particularly on two novel presentations of nutcracker and jackhammer esophagus involving eosinophilic infiltration into the muscularis propria, and their responses to both interventions.

Table e1 and Fig. e 2, 3