Achalasia Flashcards
1
Q
Describe the defining feature of achalasia
A
Absent peristalsis and failure of the LES relaxation
2
Q
What are complications of long standing achalasia
A
Progressive dilation, sigmoid deformity, LES hypertrophy
Stasis esophagitis, esophageal squamous cancer
3
Q
S/s of achalasia
A
Dysphagia, regurgitation, chest pain, weight loss
4
Q
Achalasia diagnostics
A
Barium swallow: dilated esophagus, poor emptying, and air fluid level tapering LES
Esophageal mammography: impaired LES relaxation, absent peristalsis
5
Q
Achalasia treatment plan
A
No way to prevent or reverse
Reduce LES pressure with nitrates or CCB
Botox in LES
Pneumatic dilation and heller myotomy
