Korean J Gastroenterol.  2022 Aug;80(2):99-102. 10.4166/kjg.2022.101.

Secondary Achalasia of Gastric Linitis Plastica

• Yoo IK
• Cho Jy

• KMID: 2532685
• DOI: http://doi.org/10.4166/kjg.2022.101

Figure

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  Fig. 1 Finding of esophagogastroduodenoscopy. (A) Endoscopy revealed stenosis in the esophagogastric junction. (B) The gastric rugal folds showed hypertrophy.

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  Fig. 2 The esophagography showed no passage of barium in the 5 minutes delayed phase.

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  Fig. 3 High-resolution manometry showed high integrated relaxation pressure (43 mmHg), and distal pressurization of the esophageal body.

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  Fig. 4 Open peroral endoscopic myotomy (POEM). (A) Endoscopy reveals very tight esophagogastric junction (EGJ). (B) Submucosal injection was given 10 cm proximal to the EGJ. (C) Careful injection and dissection on the EGJ. (D) Open POEM around the stenotic part. (F) Selective myotomy was performed in the submucosal tunnel. (E) Entry site clipping.

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  Fig. 5 The follow-up esophagogastroduodenoscopy revealed no stenosis on esophagogastric junction.

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  Fig. 6 (A) There was a ulceroinfiltrative lesion with irregular base and stomach was not fully distended with air-insufflation. (B) Histologic findings of the biopsy was adenocarcinoma, poorly differentiated (hematoxylin and eosin, ×12.5).

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