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1. アカラシアの治療の概要overview of the treatment of achalasia [show details]
…been reported in patients with achalasia conditions that often do not respond well to conventional therapies such as type III (spastic) achalasia and "end stage" achalasia (markedly dilated, sigmoid esophagus) …
2. アカラシアに対する筋切開術surgical myotomy for achalasia [show details]
…surgically treated for achalasia, four (1.8 percent) developed a squamous cell carcinoma at 2, 8, 13, and 18 years after the operation . The risk of esophageal cancer in patients with achalasia and the possible …
3. アカラシアに対する空気圧式拡張術とボツリヌス毒素注入pneumatic dilation and botulinum toxin injection for achalasia [show details]
…disorders of smooth muscle, including achalasia. The idea of using botulinum toxin (BT) in achalasia stems from an understanding of the pathophysiology of achalasia. Achalasia is caused by the selective loss …
4. 食道アカラシア：発症機序、臨床症状、診断achalasia pathogenesis clinical manifestations and diagnosis [show details]
… etiology, pathogenesis, clinical manifestations, and diagnosis of achalasia. The management of achalasia is discussed separately. Achalasia is an uncommon disorder with an annual incidence of approximately …
5. 成人の嚥下障害の評価法approach to the evaluation of dysphagia in adults [show details]
…either an esophageal motility disorder such as achalasia, distal esophageal spasm or hypercontractile esophagus or to a functional disorder. Primary achalasia is a disease of unknown etiology in which there …

English Journal

Peroral Endoscopic Myotomy with the Stag Beetle Knife (SB Knife): Feasibility and Follow-Up.

Wu W, He F, Lin J, Chen J, Yang S, Yu H, Zhang Y.
Medical science monitor : international medical journal of experimental and clinical research. 2019 May;25()3542-3548.
BACKGROUND Recently, a stag beetle (SB) knife was introduced to reduce the difficulty of peroral endoscopic myotomy (POEM). The objective of this study was to evaluate the efficacy and safety of the SB knife. MATERIAL AND METHODS A total of 71 patients undergoing POEM with the SB knife for esophagea
PMID 31081498

Safety and efficacy of using a short tunnel versus a standard tunnel for peroral endoscopic myotomy for Ling type IIc and III achalasia: a retrospective study.

Li L, Chai N, Linghu E, Li Z, Du C, Zhang W, Zou J, Xiong Y, Zhang X, Tang P.
Surgical endoscopy. 2019 May;33(5)1394-1402.
Peroral endoscopic myotomy (POEM) for patients with Ling type IIc and III achalasia is associated with a high rate of adverse events. Decreasing the lengths of the tunnel and myotomy may be an effective method for reducing this rate. This study aimed to assess the safety and efficacy of using a shor
PMID 30187204

The laparoscopic approach for epiphrenic diverticula with achalasia.

Mandovra P, Kalikar V, Patel A, Patankar RV.
Annals of the Royal College of Surgeons of England. 2019 Apr;101(4)256-260.
Epiphrenic diverticulum (ED) is an uncommon disease that is invariably associated with an underlying oesophageal motility disorder such as achalasia. Management of ED should always be accompanied by treatment of the underlying motility disorder to prevent recurrence of symptoms. Traditionally, ED we
PMID 30773891

Japanese Journal

Peroral endoscopic myotomy using FlushKnife BT: a single-center series

Tanaka Shinwa,Toyonaga Takashi,Kawara Fumiaki,Grimm Ian S.,Hoshi Namiko,Abe Hirofumi,Ohara Yoshiko,Morita Yoshinori,Umegaki Eiji,Azuma Takeshi
Endoscopy International Open 05(07), E663-E669, 2017-07
… Background and study aims Peroral endoscopic myotomy (POEM) is an evolving new treatment strategy for achalasia. … In this study, we evaluated the safety and efficiency of the FlushKnife BT for POEM. … Patients and methods A total of 54 consecutive patients with achalasia and other spastic esophageal motility disorders, such as jackhammer esophagus or distal esophageal spasm, who underwent POEM between January 2016 and August 2016, were included in this retrospective study. …
NAID 120006373810

Long-term disease-free survival after resection of recurrent tumor of esophageal cancer with surrounding multiple visceral organs: a case report

Toyokazu Akimori,Maeda Hiromichi,Kamioka Norihito,Kanagawa Toshichika,Tsuda Susumu,Tsuda Sachi,Takeshita Atsunori,Kobayashi Michiya,Hanazaki Kazuhiro
Ａｎｎａｌｓ　ｏｆ　Ｃａｎｃｅｒ　Ｒｅｓｅａｒｃｈ　ａｎｄ　Ｔｈｅｒａｐｙ 25(1), 12-14, 2017
… The benefit of resecting recurrent tumor after curative esophagectomy for esophageal cancer remains unclear, especially when it requires resection of multiple visceral organs. … <br><b>Case presentation</b>: A 56-year-old male patient with previous history of surgical treatment for esophageal achalasia 21 years before was referred to our hospital for treatment of lower thoracic esophageal cancer. …
NAID 130005548855

症例食道アカラシア術後再発に対して腹腔鏡下根治術を施行した1例

碓井彰大,阿久津泰典,河野世章,上里昌也,村上健太郎,太田拓実,羽成直行,加野将之,松本泰典,高橋理彦,水藤広,大塚亮太,松原久裕
千葉医学雑誌 = Chiba medical journal 92(5), 189-192, 2016-10
… [SUMMARY] We report a case of a radical operation performed laparoscopically on recurrent esophageal achalasia. … A 70-year-old man was underwent laparoscopic Heller-Dor operation for esophageal achalasia in another hospital, then he complained of dysphagia immediately after surgery. … Then, he was referred to our hospital for reoperation. …
NAID 120005953808