Pneumatic dilation for achalasia in a patient with esophageal varices

Authors :: Christian Boustière
A. Laquière
Etienne Desilets
Arthur Belle
Source :: Endoscopy International Open, Vol 04, Iss 04, Pp E459-E460 (2016), Endoscopy International Open
Publication Year :: 2016
Publisher :: Georg Thieme Verlag KG, 2016.
Abstract: Background and study aims: Previous reports of simultaneous presence of esophageal varices (EV) and achalasia suggest placement of a transjugular intrahepatic portosystemic shunt (TIPS) and surgical myotomy or endoscopic therapy. We report the case of a 64-year-old man who received anticoagulant therapy for a myeloproliferative disorder with extensive portal thrombosis which was a contraindication to placement of a TIPS.