Subscribe to RSS
DOI: 10.1055/s-2001-11662
Georg Thieme Verlag Stuttgart· New York
Concomitant Manifestation of Achalasia and Sphincter of Oddi Dysfunction
Publication History
Publication Date:
31 December 2001 (online)
![](https://www.thieme-connect.de/media/endoscopy/200102/lookinside/thumbnails/10.1055-s-2001-11662-1.jpg)
We report the case of a 44-year-old woman who suffered from biliary-type pain after cholecystectomy, dysphagia, and weight loss. Examinations revealed sphincter of Oddi dysfunction (SOD) and achalasia. Complete relief of symptoms was achieved by endoscopic sphincterotomy and pneumatic dilation of the distal esophagus.
This case report demonstrates for the first time the concomitant manifestation of two motility disorders of the upper gastrointestinal tract, i. e. achalasia and SOD. At present, any causal relationship seems speculative; however, both diseases were successfully treated using endoscopic procedures.
References
- 1 Hogan W J, Geenen J E. Biliary dyskinesia. Endoscopy. 1988; 20 179-183
-
2 Ouyang A, Cohen S.
Motility disorders of the esophagus. In: Bockus HL, Haubrich WS, Schaffner F, Berk JE (eds). Gastroenterology. Philadelphia; WB Saunders, 1995 5th edition: 418-436 - 3 Katz P O, Gilbert J, Castell D O. Pneumatic dilatation is effective long-term treatment for achalasia. Dig Dis Sci. 1998; 43 1973-1977
- 4 Mühldorfer S M, Schneider T H, Hochberger J, et al. Esophageal achalasia: intrasphincteric injection of botulinum toxin A versus balloon dilatation. Endoscopy. 1999; 31 517-521
- 5 Vaezi M F, Richter J E, Wilcox C M, et al. Botulinum toxin versus pneumatic dilatation in the treatment of achalasia: a randomized trial. Gut. 1999; 44 231-239
- 6 Martin E, San Jose C P, Emparan C, et al. Idiopathic megacolon associated with oesophageal achalasia. Eur J Gastroenterol Hepatol. 1998; 10 147-150
-
7 Lehman G A, Sherman S.
Motility and dysmotility of the biliary tract and sphincter of Oddi. In: Feldman M, Scharschmidt BF, Sleisenger MH (eds). Sleisenger and Fordtran's Gastrointestinal and liver disease. Philadelphia; WB Saunders, 1998 5th edition: 929-936 - 8 Geenen J E, Hogan W J, Dodds W J, et al. The efficacy of endoscopic sphincterotomy after cholecystectomy in patients with sphincter-of-Oddi dysfunction. N Engl J Med. 1989; 320 82-87
- 9 Allescher A D, Safrany L, Neuhaus H, et al. Aerobilia and hypomotility of the sphincter of Oddi in a patient with chronic intestinal pseudo-obstruction. Gastroenterology. 1992; 102 1782-1787
- 10 Wehrmann T, Wiemer K, Lembcke B. ösophagus- und anorektale Motilität bei Patienten mit Sphincter-Oddi-Dysfunktion. Z Gastroenterol. 1996; 34 483-489
A. Kirchgatterer,M.D.
First Dept. of Medicine
General Hospital Wels
Grieskirchnerstrasse 42
4600 Wels
Austria
Fax: Fax:+ 43-7242-415-3986