Endoscopy 2021; 53(S 01): S109
DOI: 10.1055/s-0041-1724538
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C-Poem in Achalasia of The Cricopharynx: To Do Or Not To Do

E Albeniz
1   Complejo Hospitalario de Navarra. Navarrabiomed. UPNA. IDISNA, Endoscopy Unit, Pamplona, Spain
,
F Estremera
2   Complejo Hospitalario de Navarra, Endoscopy Unit, Pamplona, Spain
,
L Zabalza
2   Complejo Hospitalario de Navarra, Endoscopy Unit, Pamplona, Spain
,
PJ Rosón
3   Hospital Quirón Malaga, Endoscopy Unit, Malaga, Spain
,
F Férnandez
3   Hospital Quirón Malaga, Endoscopy Unit, Malaga, Spain
,
M Gómez
2   Complejo Hospitalario de Navarra, Endoscopy Unit, Pamplona, Spain
,
ML Heredia
4   Hospital Mateu Orfila, Endoscopy Unit, Mahón, Spain
,
JJ Vila
2   Complejo Hospitalario de Navarra, Endoscopy Unit, Pamplona, Spain
› Author Affiliations
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    Cricopharyngeal achalasia (CA) is a rarely reported entity.

    1st-case: 40y woman with chronic cervical dysphagia: gastroscopy, barium transit(BT), high-resolution manometry(HRM), ultrasound, CT compatible with CA. During gastroscopy for CA myotomy(C-POEM), an upper pulsating compression was observed. Angio-CT diagnosed lusoria dysphagia.

    2nd-case: 83y with upper dysphagia and microaspirations. BT, HRM, Angio-CT, Videoradiology CA compatible. Patient only accepted botulinum toxin, worsening symptomatology. Finally patient agreed C-POEM. After tunneling without a cap due to the limited space, myotomy of the cricopharyngeal bar was performed. Immediate symptomatic improvement from the first day.

    CA without Zenker’s diverticulum requires a careful diagnosis. Endoscopic treatment is feasible.

    Citation: Albeniz E, Estremera F, Zabalza L et al. eP37 C-POEM IN ACHALASIA OF THE CRICOPHARYNX: TO DO OR NOT TO DO. Endoscopy 2021; 53: S109.


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    Publication History

    Article published online:
    19 March 2021

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