Achalasia - Revision history

Michael: /* See also */

2020-01-14T14:20:07Z

Michael: /* General */

2020-01-14T14:19:51Z

General

← Older revision		Revision as of 14:19, 14 January 2020
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	Treatment:<ref name=pmid22982946>{{Cite journal \| last1 = Swanstrom \| first1 = LL. \| last2 = Kurian \| first2 = A. \| last3 = Dunst \| first3 = CM. \| last4 = Sharata \| first4 = A. \| last5 = Bhayani \| first5 = N. \| last6 = Rieder \| first6 = E. \| title = Long-term outcomes of an endoscopic myotomy for achalasia: the POEM procedure. \| journal = Ann Surg \| volume = 256 \| issue = 4 \| pages = 659-67 \| month = Oct \| year = 2012 \| doi = 10.1097/SLA.0b013e31826b5212 \| PMID = 22982946 }}</ref>		Treatment:<ref name=pmid22982946>{{Cite journal \| last1 = Swanstrom \| first1 = LL. \| last2 = Kurian \| first2 = A. \| last3 = Dunst \| first3 = CM. \| last4 = Sharata \| first4 = A. \| last5 = Bhayani \| first5 = N. \| last6 = Rieder \| first6 = E. \| title = Long-term outcomes of an endoscopic myotomy for achalasia: the POEM procedure. \| journal = Ann Surg \| volume = 256 \| issue = 4 \| pages = 659-67 \| month = Oct \| year = 2012 \| doi = 10.1097/SLA.0b013e31826b5212 \| PMID = 22982946 }}</ref>
	*Endoscopic dilation.		*Endoscopic dilation.
	*~~Per-oral~~ endoscopic myotomy (POEM).		*[[Peroral endoscopic myotomy]] (POEM).
	*Laparoscopic myotomy.		*Laparoscopic myotomy.

Michael: /* General */

2017-02-11T16:05:50Z

General

← Older revision		Revision as of 16:05, 11 February 2017
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	DDx:		DDx:
	*[[Chagas disease]] - classically with dilation of the esophagus.<ref name=pmid23317615>{{Cite journal \| last1 = Pantanali \| first1 = CA. \| last2 = Herbella \| first2 = FA. \| last3 = Henry \| first3 = MA. \| last4 = Mattos Farah \| first4 = JF. \| last5 = Patti \| first5 = MG. \| title = Laparoscopic Heller myotomy and fundoplication in patients with Chagas' disease achalasia and massively dilated esophagus. \| journal = Am Surg \| volume = 79 \| issue = 1 \| pages = 72-5 \| month = Jan \| year = 2013 \| doi = \| PMID = 23317615 }}</ref>		*[[Chagas disease]] - classically with dilation of the esophagus.<ref name=pmid23317615>{{Cite journal \| last1 = Pantanali \| first1 = CA. \| last2 = Herbella \| first2 = FA. \| last3 = Henry \| first3 = MA. \| last4 = Mattos Farah \| first4 = JF. \| last5 = Patti \| first5 = MG. \| title = Laparoscopic Heller myotomy and fundoplication in patients with Chagas' disease achalasia and massively dilated esophagus. \| journal = Am Surg \| volume = 79 \| issue = 1 \| pages = 72-5 \| month = Jan \| year = 2013 \| doi = \| PMID = 23317615 }}</ref>

			Treatment:<ref name=pmid22982946>{{Cite journal \| last1 = Swanstrom \| first1 = LL. \| last2 = Kurian \| first2 = A. \| last3 = Dunst \| first3 = CM. \| last4 = Sharata \| first4 = A. \| last5 = Bhayani \| first5 = N. \| last6 = Rieder \| first6 = E. \| title = Long-term outcomes of an endoscopic myotomy for achalasia: the POEM procedure. \| journal = Ann Surg \| volume = 256 \| issue = 4 \| pages = 659-67 \| month = Oct \| year = 2012 \| doi = 10.1097/SLA.0b013e31826b5212 \| PMID = 22982946 }}</ref>
			*Endoscopic dilation.
			*Per-oral endoscopic myotomy (POEM).
			*Laparoscopic myotomy.

	==Microscopic==		==Microscopic==

Michael: /* See also */

2014-04-03T02:50:47Z

Michael: split out

2014-04-03T02:41:12Z

split out

← Older revision		Revision as of 02:41, 3 April 2014
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	~~#redirect~~ [[~~Esophagus#Achalasia~~]]		'''Achalasia''' is a benign pathology of the [[esophagus]].

			==General==
			*Uncommon.
			*Risk factor for [[squamous cell carcinoma]] (in men and women) and [[esophageal adenocarcinoma\|adenocarcinoma]] (in men).<ref>{{Cite journal \| last1 = Zendehdel \| first1 = K. \| last2 = Nyrén \| first2 = O. \| last3 = Edberg \| first3 = A. \| last4 = Ye \| first4 = W. \| title = Risk of esophageal adenocarcinoma in achalasia patients, a retrospective cohort study in Sweden. \| journal = Am J Gastroenterol \| volume = 106 \| issue = 1 \| pages = 57-61 \| month = Jan \| year = 2011 \| doi = 10.1038/ajg.2010.449 \| PMID = 21212754 }}</ref>
			*Due to loss of ganglion cells.<ref name=pmid24395614>{{Cite journal \| last1 = Blatnik \| first1 = JA. \| last2 = Ponsky \| first2 = JL. \| title = Advances in the Treatment of Achalasia. \| journal = Curr Treat Options Gastroenterol \| volume = \| issue = \| pages = \| month = Jan \| year = 2014 \| doi = 10.1007/s11938-013-0007-2 \| PMID = 24395614 }}</ref>

			Clinical:
			*Dysphagia (difficulty swallowing) liquids ''and'' solids.<ref name=pmid24395614/>

			DDx:
			*[[Chagas disease]] - classically with dilation of the esophagus.<ref name=pmid23317615>{{Cite journal \| last1 = Pantanali \| first1 = CA. \| last2 = Herbella \| first2 = FA. \| last3 = Henry \| first3 = MA. \| last4 = Mattos Farah \| first4 = JF. \| last5 = Patti \| first5 = MG. \| title = Laparoscopic Heller myotomy and fundoplication in patients with Chagas' disease achalasia and massively dilated esophagus. \| journal = Am Surg \| volume = 79 \| issue = 1 \| pages = 72-5 \| month = Jan \| year = 2013 \| doi = \| PMID = 23317615 }}</ref>

			==Microscopic==
			Features:<ref name=pmid16128783>{{Cite journal \| last1 = Kjellin \| first1 = AP. \| last2 = Ost \| first2 = AE. \| last3 = Pope \| first3 = CE. \| title = Histology of esophageal mucosa from patients with achalasia. \| journal = Dis Esophagus \| volume = 18 \| issue = 4 \| pages = 257-61 \| month = \| year = 2005 \| doi = 10.1111/j.1442-2050.2005.00478.x \| PMID = 16128783 }}</ref>
			*Mucosa typically normal - even in long-standing achalasia.

			Note:<ref name=pmid16128783/>
			*Achalasia seen in the context of a resection usually has inflammation.
			*Post-Heller myotomy often has inflammation.

			==Sign out==
			<pre>
			ESOPHAGUS, BIOPSY:
			- SQUAMOUS EPITHELIUM WITH A MILD DEEP LYMPHOCYTIC INFILTRATE, EDEMA, AND
			REACTIVE CHANGES, NO EOSINOPHILS APPARENT.
			- SCANT COLUMNAR EPITHELIUM WITH MINIMAL STROMA, NO APPARENT SIGNIFICANT PATHOLOGY.
			- NEGATIVE FOR INTESTINAL METAPLASIA.
			- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.
			</pre>

			===Alternate===
			<pre>
			GASTROESOPHAGEAL JUNCTION, BIOPSY:
			- COLUMNAR EPITHELIUM WITH MODERATE CHRONIC INFLAMMATION.
			- REACTIVE SQUAMOUS EPITHELIUM.
			- NEGATIVE FOR INTESTINAL METAPLASIA.
			- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.
			</pre>

			==See also==
			*[[Esophagus]].

			==References==
			{{Reflist\|2}}

			[[Category:Esophagus]]
	[[Category:Diagnosis]]		[[Category:Diagnosis]]

Michael: redirect

2012-02-23T20:03:02Z

redirect

New page

#redirect [[Esophagus#Achalasia]]

[[Category:Diagnosis]]

← Older revision		Revision as of 14:20, 14 January 2020
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	*[[Esophagus]].		*[[Esophagus]].
	*[[Esophageal stricture]].		*[[Esophageal stricture]].
			*[[POEM]].

	==References==		==References==

← Older revision		Revision as of 02:50, 3 April 2014
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	==See also==		==See also==
	*[[Esophagus]].		*[[Esophagus]].
			*[[Esophageal stricture]].

	==References==		==References==