Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00025476.xml
![](/products/assets/desktop/img/oa-logo.png)
Endosc Int Open 2016; 04(04): E459-E460
DOI: 10.1055/s-0042-103240
DOI: 10.1055/s-0042-103240
Case report
Pneumatic dilation for achalasia in a patient with esophageal varices
Further Information
Publication History
submitted: 25 November 2015
accepted after revision: 08 February 2016
Publication Date:
30 March 2016 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00025476/201604/lookinside/thumbnails/458_10-1055-s-0042-103240-1.jpg)
Background and study aims: Previous reports of simultaneous presence of esophageal varices (EV) and achalasia suggest placement of a transjugular intrahepatic portosystemic shunt (TIPS) and surgical myotomy or endoscopic therapy. We report the case of a 64-year-old man who received anticoagulant therapy for a myeloproliferative disorder with extensive portal thrombosis which was a contraindication to placement of a TIPS.
-
References
- 1 Pinillos H, Legnani P, Schiano T. Achalasia in a patient with gastroesophageal varices: problematic treatment decisions. Dig Dis Sci 2006; 51: 31-33
- 2 Lozano-Lanagrán M, Lavín-Castejón I, Alcaín-Martínez G. Treatment of achalasia with botulinum toxin injection guided by endoscopic ultrasonography in a patient with esophageal varices. Rev Esp Enferm Dig 2011; 103: 663-664
- 3 Lakhtakia S, Monga A, Gupta R et al. Achalasia cardia with esophageal varix managed with endoscopic ultrasound-guided botulinum toxin injection. Indian J Gastroenterol 2011; 30: 277-279
- 4 Eckardt VF. Clinical presentations and complications of achalasia. Gastrointest Endosc Clin N Am 2001; 11: 281-292