Clinical Features, Endoscopic Findings, Histopathology, Treatment and Follow-Up of 3 Cases of Esophageal Leiomyoma Coexisted with Achalasia
Variable | Patient no. 1 | Patient no. 2 | Patient no. 3 |
---|---|---|---|
Age (yr)/Sex | 40/Male | 55/Female | 36/Female |
Clinical features | Dysphagia | Dysphagia | Dysphagia, vomiting |
Manometric findings | IRP: 20 mmHg; type I achalasia | IRP: 21.6 mmHg; type I achalasia | IRP: 31.5 mmHg; type I achalasia |
Endoscopic findings | Achalasia Cardia | Achalasia Cardia | Achalasia Cardia |
Treatment | POEM + STER | POEM + STER | POEM + STER |
Histopathologic findings of leiomyoma | |||
Location | Lower esophagus | Gastroesophageal junction | Gastroesophageal junction |
Size (mm) | 8 | 10 | 6 |
Histology | Leiomyoma | Leiomyoma | Leiomyoma |
Follow-up (3, 6, 12 months) | Asymptomatic | Asymptomatic | Asymptomatic |
IRP, integrated relaxation pressure; POEM, peroral endoscopic myotomy; STER, submucosal tunneling endoscopic resection.