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Cricopharyngeal myotomy for primary cricopharyngeal dysfunction caused by a structural abnormality localized in the cricopharyngeus muscle: Report of a case

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Abstract

Primary cricopharyngeal dysfunction (PCD) is a rare idiopathic disorder of the upper esophageal sphincter (UES), characterized by oropharyngeal dysphagia, frequent aspiration, and narrowing at the level of the UES. Cricopharyngeal myotomy (CPM) has been used to treat oropharyngeal dysphagia of different causes including anatomic, neuromuscular, iatrogenic, inflammatory, neoplastic, and idiopathic; however, the indications for CPM and predictors of its outcome are not clearly defined. We report a case of PCD with hypertonic UES caused by a structural abnormality localized in the cricopharyngeus muscle, visualized as a cricopharyngeal bar, which we treated successfully by CPM, achieving long-term relief.

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Authors and Affiliations

  1. Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan

    Koichi Suda, Hiroya Takeuchi & Yuko Kitagawa

  2. Department of Surgery, Keiyu Hospital, Yokohama, Japan

    Hiroaki Seki, Akira Yoshizu, Nobutaka Yasui, Hidetoshi Matsumoto & Akihiko Shimada

  3. Minato-mirai Medical Square, Yokohama, Japan

    Hiroki Ishikawa

Authors
  1. Koichi Suda
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  2. Hiroya Takeuchi
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  3. Hiroaki Seki
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  4. Akira Yoshizu
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  5. Nobutaka Yasui
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  6. Hidetoshi Matsumoto
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  7. Akihiko Shimada
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  8. Hiroki Ishikawa
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  9. Yuko Kitagawa
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Suda, K., Takeuchi, H., Seki, H. et al. Cricopharyngeal myotomy for primary cricopharyngeal dysfunction caused by a structural abnormality localized in the cricopharyngeus muscle: Report of a case. Surg Today 41, 1238–1242 (2011). https://doi.org/10.1007/s00595-010-4449-z

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  • DOI: https://doi.org/10.1007/s00595-010-4449-z

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