High-Pressure Tactics: Jackhammer Esophagus-Diagnosing Is Easier than Treating

Diagnosis of esophageal disorders is well ahead of available treatment options. With HRM, for example, one can identify numerous conditions and their variants, which may lose meaning if the clinical and therapeutic implications of these subclassifications are limited. We report an exemplary case of a patient with hiatal hernia complaining of reflux, dysphagia, and chest pain refractory to medical treatment. Jackhammer esophagus was diagnosed and a hybrid approach consisting of POEM and concomitant crural repair and Dor fundoplication is proposed.

Automated summary

Diagnosis of esophageal disorders is more advanced than available treatment options. A patient with hiatal hernia, experiencing reflux, dysphagia, and chest pain, was diagnosed with jackhammer esophagus and treated with a hybrid approach of POEM, crural repair, and Dor fundoplication.