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El hipo con un giro: una causa rara y sorprendente detrás de esos espasmos involuntarios
Vishal Mavuri1, Jay Chudasama2, Sanjay Jagdish Chandnani3
1Senior Resident, Department of Gastroenterology, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital, Mumbai, Maharashtra, India, Corresponding Author, Orcid: https://orcid.org/0009-0008-9757-2238.
The Journal of the Association of Physicians of India
|August 21, 2025
Resumen
El hipo persistente, a menudo causado por problemas gastroesofágicos, rara vez puede indicar un espasmo esofágico distal (DES). Un paciente con hipo como queja primaria fue diagnosticado con DES y tratado con éxito con miotomía endoscópica peroral.
Área de la Ciencia:
- Gastroenterología
- Neurología
Sus antecedentes:
- El hipo persistente (que dura más de 48 horas) suele indicar una causa orgánica subyacente que requiere evaluación.
- Las causas comunes incluyen trastornos gastroesofágicos como aerofagia, úlcera péptica, esofagitis, gastritis y pancreatitis.
Objetivo del estudio:
- Para reportar un caso raro de espasmo esofágico distal (DES) que se presenta principalmente con hipo persistente.
- Para resaltar el desafío de diagnóstico y el tratamiento exitoso de esta presentación inusual.
Principales métodos:
- Informe de caso de un paciente con hipo persistente.
- El diagnóstico inicial fue la enfermedad por reflujo gastroesofágico (ERGE).
- Otras investigaciones revelaron un espasmo esofágico distal (DES); se realizó un tratamiento con miotomía endoscópica peroral (POEM).
Principales resultados:
- La queja principal del paciente fue el hipo persistente.
- El espasmo esofágico distal (DES) fue identificado como la causa subyacente.
- El hipo se resolvió completamente después de la miotomía endoscópica peroral (POEM).
Conclusiones:
- El espasmo esofágico distal (DES) es una causa poco común de hipo persistente.
- Este caso subraya la importancia de considerar las etiologías menos comunes para el hipo persistente.
- La miotomía endoscópica peroral (POEM) es un tratamiento eficaz para el DES que se presenta con hipo.
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