Tracheal distortion in achalasia

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Cervical tracheal compression in a patient with achalasia: an uncommon event.

We report a case of a 79-year-old woman with long-standing achalasia that resulted in respiratory stridor and dyspnea. She was evaluated for tracheal compression with use of CT on inspiration and expiration. Airway obstruction and acute respiratory distress secondary to achalasia have been reported in the clinical literature. The importance of recognizing these rare manifestations is crucial fo...

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A rare manifestation of achalasia: huge esophagus causing tracheal compression and progressive dyspnea.

Achalasia is a primary esophageal motility disorder characterized by the absence of primary peristalsis and a failure of the lower esophageal sphincter to relax, resulting in a dilated esophagus. Dysphagia is the classic and most common symptom. Respiratory obstruction due to tracheal compression caused by a massively dilated esophagus is a very rare but fatal complication. Herein, we report a ...

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Achalasia.

Achalasia is the best understood and most readily treatable esophageal motility disorder. It serves as a prototype for disorders of the enteric nervous system with degeneration of the myenteric neurons that innervate the lower esophageal sphincter (LES) and esophageal body. Investigations into the pathogenesis have highlighted the importance of nitric oxide and the possible role of an autoimmun...

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Achalasia

Achalasia is a primary esophageal motor disorder characterized by lack of esophageal peristalsis and poor lower esophageal sphincter (LES) relaxation. Clinically, achalasia manifests as progressive dysphagia to solids and liquids and mild weight loss. Predisposition to esophageal cancer is not prevalent, but certain tumors may mimic achalasia. The diagnosis of achalasia is relatively easy to ma...

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Endoscopy in achalasia.

ENDOSCOPY has a very limited role in the diagnosis of achalasia but should always be undertaken when the radiologist suggests this diagnosis. The inspection of the oesophagus may be impaired by marked retention of food particles; we therefore lavage the organ routinely before starting endoscopy. Oesophagoscopy is principally used to rule out a stenosing process at the oesophago-cardiac junction...

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ژورنال

عنوان ژورنال: Canadian Journal Of Anesthesia/journal Canadien D'anesthésie

سال: 2021

ISSN: ['0832-610X', '1496-8975']

DOI: https://doi.org/10.1007/s12630-021-01966-8