Achalasia cardia

external

• Synonyms

  • Cardiospasm
  • Oesophageal dyssynergia
  • Megaoesophagus

• Causes

  • Ehlers-Danlos syndrome
  • Lesion to Auerbach plexus
  • Trypanosoma cruzi
  • Adrenal insufficiency alacrima and achalasia syndrome

• Effects

  • Dysphagia
  • Bird's beak appearance
  • Carcinoma of oesophagus

• Parents

  • Upper gastrointestinal pathology

• Treatments

  • Propantheline
  • Nifedipine
  • Glyceryl trinitrate
  • Metoclopramide
  • Benzodiazepine
  • Botulinum toxin
  • Oesophageal dilatation
  • Cardiomyotomy
  • Anticholinergic drug
  • Antimuscarinic drug

• Description

  • "Impaired peristalsis Dysphagia for liquids and not solids 75% cured by cardiomyotomy Esophageal manometry: -Incomplete LES relaxation in response to swallowing
  • -high resting LES pressure
  • -absent esophageal peristalsis "