Diagnosis of congenital esophageal stenosis in adults and treatment with peroral endoscopic myotomy.

ABSTRACT:

Background

Congenital esophageal stenosis (CES) in adults is a rare disorder that can present as achalasia, particularly in the distal esophagus. We describe the salient features of CES in adults and identify the feasibility and short-term outcomes of peroral endoscopic myotomy (POEM) for CES.

Methods

In this retrospective, single-center case series, we included 6 patients with a "misdiagnosis" of achalasia established elsewhere, ultimately diagnosed with CES and referred to our institution for POEM. Symptom improvement (clinical success rate), defined as an Eckardt Symptom Score (ESS) of <3 at 2-month follow up was assessed.

Results

Six patients (median age: 40 [range: 18-58] years; 4 males) were included. A long-standing history of dysphagia, ring-shaped stenosis on

SUBMITTER: Ikeda H 

PROVIDER: S-EPMC8276369 | biostudies-literature | 2021 Jul-Aug

REPOSITORIES: biostudies-literature