Achalasia

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Background

  • Inability of LES to relax and loss of normal peristalsis

Clinical Features

  • Dysphagia
  • Regurgitation
  • Chest pain

Differential Diagnosis

Diagnosis

  • Upper GI
    • Esophageal dilatation
    • Birds beak sign
Barrium swallow showing birds beak appearance
  • Esophageal Manometry
Aperistaltic contractions, increased intraesophageal pressure, and failure of relaxation of the lower esophageal sphincter.

Management

  • Trial of antispasmodic for Esophageal Spasm
    • Nifedipine
    • Surgical intervention
    • Baloon dilatation
    • Botulinum toxin injection
    • Myomectomy

Disposition

See Also

External Links

References

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