Esophageal Achalasia-Like Motility Disorder: An Intriguing Clinical Scenario and Therapeutic Implications

26 May 2021 04:00 06:00
Milan
Luigi Bonavina  Host

Take this format and just change the id of the video

Patient Profile & Clinical Presentation

  • Initial Evaluation: Patient seen in September 2020.

  • Symptoms: Mixed reflux-like symptoms and dysphagia, with no weight loss.

  • Initial Diagnosis: Nutcracker esophagus.

High-Resolution Manometry (HRM)

  • Findings: EGJ Outflow Obstruction (EGJ OO) plus Jackhammer esophagus.

  • Differential Diagnosis: Differential diagnosis according to the recent Chicago 4.0 classification.

Presentation of the Case

  • Luigi Bonavina

  • Stefano Siboni (Interactive case presentation-1)

  • Pamela Milito (Interactive case presentation-2)

  • Emanuele Asti (Surgical implications)

Discussion

Discussion led by Luigi Bonavina with a top level panel.

Therapeutic strategy for a patient with EGJ OO and hypercontractile phenotype: nifedipine, pneumatic dilation, POEM, Heller myotomy?

Panel for Discussion

C. Prakash Gyawali, St. Louis MO (USA) | John O. Clarke, Stanford CA (USA) | Roberto Penagini, Milan (Italy) | Robert Bechara, Kingston (Canada) | Yinglian Xiao, Guangzhou (China)