Korean J Neurogastroenterol Motil.  2005 Dec;11(2):161-165.

A Case of Vigorous Achalasia Treated by Combined Treatments with Pneumatic Balloon Dilatation and Botulinum Toxin Injection

• Kwon HC
• Lee KJ
• Meong BH
• Jung JY
• Hahm KB
• Kim JH
• Cho SW

Abstract

Achalasia is a relatively uncommon primary motility disorder of the esophagus that is characterized by aperistalsis of the esophageal body and incomplete relaxation of the LES upon swallowing Vigorous achalasia is a subset of achalasia that show a higher contraction amplitude, minimal esophageal dilatation, prominent tertiary contractions and a higher incidence of chest pain. There is some debates over vigorous achalasia's the response to treatment. We report here on a patient with vigorous achalasia, and the patient showed high amplitude simultaneous contractions of the esophageal body with severe chest pain and dysphagia. This patient was successfully treated by combined treatments with pneumatic balloon dilatation and botulinum toxin injection on the esophageal body and the lower esophageal sphincter.

Keyword

Vigorous achalasia; Pneumatic balloon dilation; Endoscopic botulinum toxin injection

MeSH Terms

Botulinum Toxins*
Chest Pain
Deglutition
Deglutition Disorders
Dilatation*
Esophageal Achalasia*
Esophageal Sphincter, Lower
Esophagus
Humans
Incidence
Relaxation
Botulinum Toxins