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[A case report of jackhammer esophagus]
Masato Hoshino1, Nobuo Omura, Fumiaki Yano
1Department of Surgery, Jikei University School of Medicine.
Summary
This case report highlights jackhammer esophagus, a rare esophageal motility disorder, diagnosed via high-resolution manometry. The findings underscore the importance of advanced diagnostics for unexplained dysphagia and hiccups.
Area of Science:
- Gastroenterology
- Esophageal Physiology
- Diagnostic Medicine
Background:
- Esophageal motility disorders can present with non-specific symptoms like dysphagia and hiccups.
- Conventional diagnostic methods may not always identify underlying esophageal dysfunction.
- High-resolution manometry (HRM) offers detailed insights into esophageal contractility.
Observation:
- A 39-year-old female presented with a 4-month history of hiccups and dysphagia.
- Initial upper endoscopy and esophagography revealed no significant pathology.
- High-resolution manometry (HRM) was crucial for diagnosis.
Findings:
- HRM revealed an elevated integrated relaxation pressure (IRP) of 11.5mmHg.
- Distal contractile integral (DCI) values were significantly high: 6543mmHg-s-cm, with a peak of 9289mmHg-s-cm.
- These manometric findings supported a diagnosis of jackhammer esophagus.
Implications:
- Jackhammer esophagus is a hypercontractile esophageal disorder.
- Accurate diagnosis relies on advanced manometric parameters.
- This case emphasizes HRM's role in diagnosing complex esophageal motility issues.
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