Journals / Eurasian Journal of Medicine / 2014 / Cilt: 46 - Sayı: 1

Akalazyanın nadir bir manifestasyonu: Trakeal kompresyon ve progressif dispneye yol açan dev özofagus

A rare manifestation of achalasia: Huge esophagus causing tracheal compression and progressive dyspnea

Pages
57–60
Publication Date
2022-10-18
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

These findings are documented with CT scans.His symptoms regressed after a Heller myotomy and fundoplication operation.

📌 3 Key Takeaways

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Objective & Hypothesis:Achalasia is a primary esophageal motility disorder characterized bythe absence of primary peristalsis and a failure of the lower esophagealsphincter to relax, resulting in a dilated esophagus.
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Key Findings & Data:Dysphagia is the classic and most common symptom.
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Conclusion & Impact:These findings are documented with CT scans.His symptoms regressed after a Heller myotomy and fundoplication operation.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Achalasia is a primary esophageal motility disorder characterized bythe absence of primary peristalsis and a failure of the lower esophagealsphincter to relax, resulting in a dilated esophagus. Dysphagia is the classic and most common symptom. Respiratory obstruction due to trachealcompression caused by a massively dilated esophagus is a very rare butfatal complication. Herein, we report a case of a patient with long-stand-ing achalasia who had tracheal compression secondary to a markedlydilated, giant esophagus. These findings are documented with CT scans.His symptoms regressed after a Heller myotomy and fundoplication operation.

Özet

Akalazya, özofagusta genişlemeye yol açan, alt özofageal sfinkterin gevşeme boukluğu ve özofagusta primer peristaltizm yokluğuyla karakterize özofageal motilite hastalığıdır.Disfaji en sık rastlanan yakınmadır. Massif olarak genişleyen özofagusun trakeaya basısı sonucu oluşan solunumsal obstrüksiyon, çok nadir ancak ölümcül bir komplikasyondur.Burada ileri derecede dilate, dev özofagusun yol açtığıtrakeal kompresyonu olan uzun süredir akalazya tanısı alan olguyu sunuyoruz. Hastanın semptomları laparoskopik Heller myotomi operasyonu sonrasında gerilemiştir.Bulgular Bilgisayarlı Tomografi incelemesiyle dökümante edilmiştir.

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Cite This Article

GUR, M. S., SOLAK, I., SOLAK, A., GENC, B. (2022). Akalazyanın nadir bir manifestasyonu: Trakeal kompresyon ve progressif dispneye yol açan dev özofagus. Eurasian Journal of Medicine, Cilt: 46 - Sayı: 1, 57–60. https://ajindex.com/articles/509160

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References (1)

  1. Chuah SK, Hsu PI, Wu KL, Wu DC, Tai WC, Changchien CS. 2011 update on esophageal achalasia. World J Gastroenterol 2012; 18: 1573-8. [CrossRef] 2. Carlson DA, Pandolfino JE. The Chicago criteria for esophageal motility disorders: what has changed in the past 5 years? Curr Opin Gastroenterol 2012; 28: 395-402. [CrossRef] 3. Giustra PE, Killoran PJ, Wasgatt WN. Acute stridor in achalasia of the esophagus (cardiospasm). Am J Gastroenterol 1973; 60: 160-4. 4. Olsen AM, Harrington SW, Moersch HJ. The treatment of cardio- spasm: analysis of a twelve year experience. J Thorac Sur 1951; 22: 164-87. 5. Bello CT, Lewin Jr, Norris CM, Farrar GE Jr. Achalasia (cardiospasm); report of a case with extreme and unusual manifestations. Ann Intern Med 1950; 32: 1184-90. [CrossRef] 6. Miyamoto S, Konda Y, Matsui M, et al. Acute airway obstruction in a patient with achalasia. Intern Med 2011; 50: 2333-6. [CrossRef] 7. D’Abreu AL, Collis JL, Clarke DB. A practice of thoracic surgery. London: Edward Arnold; 1971.p.496-501. 8. Dudnick RS, Castell JA, Castell DO. Abnormal upper esophageal sphincter function in achalasia. Am J Gastroenterol 1992; 87: 1712-5. 9. Yoneyama F, Miyachi M, Nimura Y. Manometric findings of the upper esophageal sphincter in esophageal achalasia. World J Surg 1998; 22: 1043-7. [CrossRef] 10. Massey BT, Hogan WJ, Dodds WJ, Dantas RO. Alteration of the upper esophageal sphincter belch reflex in patients with acha- lasia. Gastroenterology 1992; 103: 1574-9. 11. Arcos E, Medina C, Mearin F, Larish J, Guarner L, Malagelada JR. Achalasia presenting as acute airwayobstruction. Dig Dis Sci 2000; 45: 2079-84. [CrossRef] 12. Bruijns SR, Hicks A. Achalasia: an unusual cause of airway obstruction. Emerg Med J 2009; 26: 148. [CrossRef] 13. Carlsson-Nordlander B. Acute upper airway obstruction in a patient with achalasia. Arch Otolaryngol Head Neck Surg 1987; 113: 885-7. [CrossRef] 14. Dunlop SP, Travis SP. Achalasia presenting as acute stridor. Eur J Gastroenterol Hepatol 1997; 9: 1125-8. [CrossRef] 15. Kendall AP, Lin E. Respiratory failure as presentation of achalasia of the oesophagus. Anaesthesia 1991; 46: 1039-40. [CrossRef] 16. Ali GN, Hunt DR, Jorgensen JO, deCarle DJ, Cook IJ. Esophageal achalasia and coexistent upper esophageal sphincter relaxation disorder presenting with airway obstruction. Gastroenterology 1995; 109: 1328-32. [CrossRef] 17. Wagh MS, Matloff DS, Carr-Locke DL. Life-threatening acute airway obstruction in achalasia. MedGenMed 2004; 6: 12. 1