A Case of Esophageal Web in Plummer-Vinson Syndrome Treated by Endoscopic Balloon Dilatation Therapy

DOI DOI Web Site 3 Citations
  • Kamihira Masakazu
    Department of Gastroenterology, Omiya Medical Center, Jichi Medical School
  • Yoshida Yukio
    Department of Gastroenterology, Omiya Medical Center, Jichi Medical School
  • Sato Yoshihiro
    Department of Gastroenterology, Omiya Medical Center, Jichi Medical School
  • Hirakawa Ryuichi
    Department of Gastroenterology, Omiya Medical Center, Jichi Medical School
  • Yamanaka Takeo
    Department of Gastroenterology, Omiya Medical Center, Jichi Medical School
  • Imawari Michio
    Department of Gastroenterology, Omiya Medical Center, Jichi Medical School

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Other Title
  • Plummer-Vinson症候群に見られた食道Webに対し内視鏡的バルーン拡張術が有効であった1例
  • 10.11641/pde.54.0_62

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A 49-year-old woman had a 23-year history of progressive dysphagia and weight loss. She visited a clinic complaining that she was unable to swallow a tablet. Endoscopic examination was attempted but endoscope could not pass through the stenosis of the cervical esophagus, so she was referred to our medical center. Her esophagogram showed an esophageal web, and laboratory studies showed iron-deficiency anemia. Iron treatment was administrated and the web was perforated with a balloon dilater under endoscopic guidance. One month later, the patient had no dysphagia, and no further dilatations were required. Dysphagia with iron-deficiency anemia, esonphageal web, glossitis, and koilonychia in middle-aged women constitute Plummer-Vinson syndrome (PVS) . Iron replacement therapy will improve the dysphasia in many cases, and symptomatic webs are easily treated by dilation. PVS is associated with an increased incidence of esophageal cancer, and surveillance endoscopy is recommended.

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