Journal of Health Sciences and Medicine

Yazarlar: Müjgan GÜRLER, Murat PEHLİVAN, Güray CAN, Meral AKDOĞAN KAYHAN

Konular:Sağlık Bilimleri ve Hizmetleri

DOI:10.32322/jhsm.689035

Anahtar Kelimeler:Jackhammer esophagus,Esophageal manometry,Dysphagia,Botulinum toxin

Özet: Jackhammer esophagus is a peristaltic hypercontractile motility disorder detected on average of 4% of esophageal manometry examinations. The diagnosis is mostly performed in patients presenting with dysphagia, sometimes chest pain or gastroesophageal reflux. The symptom of dysphagia is associated with strong contractions in the lower esophageal sphincter, esophageal outlet stenosis, and high distal contractile integral. There is no clear consensus regarding Jackhammer esophageal therapy. Reducing acid exposure has been shown to reduce symptoms and motor impairment. If the main symptoms are chest pain and dysphagia, neuromodulators and smooth muscle relaxants can be given. In severe refractory cases, besides endoscopic methods such as esophageal Botulinum toxin injection and POEM, surgical options such as Heller myotomy can be considered. In our case, clinical response was obtained with Botulinum injection and calcium channel blocker.

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