A 35-year-old man presented with a 3-year history of inter- mittent chest pain, dysphagia, and regurgitation (Eckardt score: 5). Gastroscopy and barium esophagogram revealed a normal-diameter esophagus with tertiary contractions in the midandloweresophagusandnoresistanceatthegastroesoph- ageal junction (GEJ) (Fig. 1). High-resolution manometry (HRM) showed a high distal contractile integral of 28,013 mm Hg/s/cmin>20%swallows,withanormalintegratedrelaxation pressure(12.8mmHg)anddistallatency(7seconds),sugges- tive of jackhammer esophagus (JHE) (Fig. 2). There was no significant relief of symptoms with medical therapy, including oral proton pump inhibitors and calcium channel blockers.
展开▼
机译：一名35岁的男子介绍了三年的胸痛，吞咽困难和反流（Eckardt得分：5）。胃镜检查和钡食管显示出常规直径的食道，中间级患病症istanceattheattheatheattheal（Gej）中的第三次收缩（图1）。高分辨率测压（HRM）显示出28,013mm Hg / s / cmin> 20％燕子的高远端收缩积分，含有掺量的燕子（12.8mmHg）anddistallatency（7秒），建议的Jackhammer食道（JHE）（图2 ）。症状没有显着的症状，包括口服质子泵抑制剂和钙通道阻滞剂。
展开▼
