Weight loss, heartburn, chest pain, dysphagia ... are actually esophageal stunting.

I didn't deliberately lose weight, but I lost weight quickly, especially with heartburn, chest pain, dysphagia and vomiting. Maybe it's not gastroesophageal reflux, maybe I have "esophageal block". At present, a new diagnostic tool is a high-resolution esophageal motility detector, which can improve the diagnostic rate of esophageal dysplasia by 1 times.

Rapid weight loss, especially heartburn, chest pain, dysphagia, vomiting and other symptoms. It may not be gastroesophageal reflux, but it may be "esophageal block". 1 67-year-old Mr. Zhou has often had heartburn, retrosternal pain, intermittent dysphagia and other symptoms in recent 20 years, thinking it was gastroesophageal reflux. Long-term use of hydrogen ion blockers and other gastroesophageal reflux drugs has not improved significantly. In recent years, when eating or drinking water, I often feel that food is stuck in the esophagus, accompanied by vomiting and eating difficulties. In recent months, my weight has dropped by more than ten kilograms.

Esophageal dysplasia is a rare abnormal function of esophageal peristalsis.

The patient was later transferred to Taipei Rong General Hospital for treatment. Endoscopic examination of the upper digestive tract showed that the esophagus was greatly bent and expanded, and it was full of undigested food. Esophageal barium meal radiography showed that the esophagus was S-shaped and beak-shaped, and the swallowed developer remained in the esophagus and could not enter the stomach. Further receiving a new generation of high-resolution esophageal motility examination, it was found that esophageal contraction and peristalsis were lost, and the lower esophageal sphincter pressure was increased, which was diagnosed as type I esophageal dysplasia.

Lu Junliang, director of Taipei Rongzong Endoscopic Clinic, said that esophageal sluggishness is not a rare abnormal disease of esophageal peristalsis, and its cause is unknown, which may be related to virus infection. Its pathogenesis is the loss of esophageal muscle contraction function and the relaxation and disability of lower esophageal sphincter. The initial symptoms are sporadic reflux, which gradually progresses to dysphagia, chest pain, vomiting after eating, accompanied by weight loss after several months to several years. After oral endoscopic sphincterotomy (POEM), the patient resumed eating the next day without swallowing difficulties, and gained 65,438+00 kg one month later.