Achalasia

Achalasia

Achalasia is motor disorder of esophagus characterized by impaired relaxation of lower esophageal sphincter

Symptoms of achalasia are

  • Dysphagia
  • Odynophagia
  • Chest pain
  • Weight loss
  • Aspiration pneumonia

Diagnosis

Following tests are performed for the diagnosis of achalasia

  • Upper GI endoscopy to rule out obstructing lesion
  • Barium swallow
  • Esophageal manometry

Treatment

Following are the treatment options

  • Surgery
  • Endoscopic pneumatic balloon dilatation
  • Oral nifedepine and nitroglycerine
  • Botulinum injection

Surgery and endoscopic dilatation are mainstay of treatment

Emergency Cases

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