Achalasia
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Achalasia
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Assessments
Flashcards
0 / 7 complete
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High Yield Notes
13 pages
Flashcards
Achalasia
0 of 7 complete
Questions
USMLE® Step 1 style questions USMLE
0 of 2 complete
A 40-year-old woman comes to the office due to difficulty swallowing, food regurgitation, and reflux for the past several months. The patient describes difficulty swallowing both liquids and solids. She occasionally regurgitates chunks of undigested food. Medical history is unremarkable except for a C-section 8 years ago. She has had no recent illness, weight loss or fatigue, and she does not smoke cigarettes or use illicit drugs. She drinks alcohol socially. She has not traveled out of the country recently. A barium swallow test is performed and shown below:
Reproduced from: Wikimedia Commons
Which of the following patterns is most likely to be seen in this patient on manometry of the esophagus?
Reproduced from: Wikimedia Commons
Which of the following patterns is most likely to be seen in this patient on manometry of the esophagus?
External References
First Aid
2024
2023
2022
2021
Achalasia p. 383
esophageal cancer and p. 385
LES tone in p. 378
Chagas disease p. 155
achalasia in p. 383
Dysphagia
achalasia p. 383
Esophageal cancer p. 385
achalasia and p. 383
Lower esophageal sphincter
achalasia and p. 385
Trypanosoma cruzi p. , 155
achalasia and p. 383
Summary
Achalasia is a rare disorder of the esophagus in which the lower esophageal sphincter fails to relax. This interferes with the normal movement of food and liquid from the mouth to the stomach. The main symptoms are difficulty swallowing (dysphagia) and regurgitation of food or liquid. These symptoms may get worse over time. Achalasia can also cause chest pain, heartburn, and problems with breathing.
The diagnostic workup of achalasia may involve esophageal manometry, upper GI endoscopy, and esophageal barium swallow. The treatment can require surgery to correct the defect or pneumatic dilation in which a balloon can be used to dilate narrowed segments of the esophagus. Achalasia