Achalasia Flashcards
(4 cards)
1
Q
pathology
A
▪ Inadequate relaxation of LES [Tight LES ] → increase
LES resting pressure
2
Q
Clinical
A
: Dysphagia [solid + liquid] , food regurgitation ,
vomiting , weight loss
3
Q
▪ Diagnosis
A
- initial: Barium swallow X-ray/esophagogram = Bird
beak sign
-Confirmatory: Manometry/Esophageal pressure test
4
Q
treatment
A
▪ Based on Surgical Risk
▪ Low surgical Risk - pneumatic dilation - Heller myotomy
▪ Esophagectomy ? - Sigmoid shape esophagus - Faliure of Heller myotomy
▪ High Surgical Risk - Botulin toxin injection in LES
