Abstract
An 80-year-old man with diffuse esophageal spasm underwent high-resolution manometry perioperatively and postoperatively. Integrated relaxation pressure was normal, and distal latency and peristaltic waves had disappeared. Endoscopic ultrasound (EUS) revealed esophageal muscle layer thickening to more than 1 cm in an area spanning the esophagogastric junction to the oral side. Laparoscopic long myotomy (LM) was performed followed by Dor fundoplication. The patient was discharged with a good postoperative course. Perioperative EUS-guided LM via the transhiatal approach was useful in this case.
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All procedures followed were performed in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and the Helsinki Declaration of 1964 and later versions. Informed consent or a substitute was obtained from all patients for inclusion in the study.
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Ueno, D., Matsumoto, H., Manabe, N. et al. Laparoscopic long myotomy and Dor fundoplication guided by perioperative endoscopic ultrasound. Esophagus 13, 391–394 (2016). https://doi.org/10.1007/s10388-016-0546-4
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DOI: https://doi.org/10.1007/s10388-016-0546-4