Wednesday 19 May 2010

a, b, c of achalasia

achalasia: absence of relaxation.
both liquid and solids dysphagia.
b
arium swallow will show bird peak.
treat with botulinum toxin or balloon dilation (pneumatic dilation).
calcium channel blockers is another treatment option.
chaga’s disease may cause secondary achalasia.
achalasia is associated with an increased risk of esophageal carcinoma.
complication: reflux of food so, don't forget aspiration syndrome!

gold standard investigation to diagnose is manometry showing failure of the LES to relax, as well as the absence of peristaltic waves in the upper esophagus.
perform an endoscopy to rule out malignancy.

2 comments:

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