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- ANDO Ryohei
- Department of Digestive Surgery, Tohoku University Graduate School of Medicine
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- SATOH Chiaki
- Department of Digestive Surgery, Tohoku University Graduate School of Medicine
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- FUKUTOMI Toshiaki
- Department of Digestive Surgery, Tohoku University Graduate School of Medicine
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- OKAMOTO Hiroshi
- Department of Digestive Surgery, Tohoku University Graduate School of Medicine
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- TAKAYA Kai
- Department of Digestive Surgery, Tohoku University Graduate School of Medicine
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- TANIYAMA Yusuke
- Department of Digestive Surgery, Tohoku University Graduate School of Medicine
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- KAMEI Takashi
- Department of Digestive Surgery, Tohoku University Graduate School of Medicine
Bibliographic Information
- Other Title
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- 幽門側胃切除後に発症した食道アカラシアに対して経口内視鏡的筋層切開術（POEM）を施行した1例
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Abstract
<p>The patient was a male in his 70s with a history of distal gastrectomy and Billroth-I reconstruction. He was suspected of having esophageal achalasia and was started on calcium blockers in X-2 year. The symptoms worsened, and he presented to our hospital in X year. We diagnosed esophageal achalasia (Chicago classification ver. 3.0;type I), and conducted per-oral endoscopic myotomy (POEM). His postoperative course was uneventful with no postoperative symptoms. In cases of esophageal achalasia following distal gastrectomy, it is important to consider adhesions, mobility of the remaining stomach, and preservation of the short gastric artery and vein. Since the Heller-Dor operation can be difficult, POEM may be a reasonable alternative in these cases.</p>
Journal
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- Nippon Shokakibyo Gakkai Zasshi
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Nippon Shokakibyo Gakkai Zasshi 117 (9), 796-801, 2020-09-10
The Japanese Society of Gastroenterology