Sievering Surgical Clinic

Sieveringer St 9, A-1190 Vienna Tel: 328 8777

Gastroenterology Unit

Achalasia

Diagnosis & Treatment

Achalasia

Patient information on swallowing disorder

AKA:esophageal achalasia , achalasia cardiae , cardiospasm , and esophageal aperistalsis

Definition

Achalasia is a swallowing disorder caused by an uncommon esophageal motility problem characterized by absent or poor esophageal smooth muscle peristalsis and incomplete relaxation of the lower esophageal sphincter (LES).

Symptoms

  • Backflow (regurgitation) of food

  • Chest pain , which may increase after eating or may be felt in the back, neck, and arms

  • Cough

  • Difficulty swallowing liquids and solids

  • Heartburn

  • Unintentional weight loss

 

Diagnosis

Diagnosis involves esophageal manometry and endoscopy. The role of endoscopic ultrasound in the evaluation of achalasia is evolving.

Treatment

Treatment is directed at decreasing the functional obstruction at the LES. Treatment traditionally included open surgical myotomy and esophageal pneumatic dilation. Newer therapies have emerged over the past decade, with the addition of laparoscopic surgical methods and botulinum toxin injection. These techniques are under review.

More information

Digestive Disorders Foundation
Tel: +4420 7486 0341
http://www.digestivedisorders.org.uk

Karolinska Institutet, Sweden
http://www.mic.ki.se

 

 

More information on achalasia Venous Disease

 

 

| 25.01.2011 | Read more | Print |

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