Achalasia of the Esophagus

Payne, W. Spencer; Ellis, F. Henry; Olsen, Arthur M.

doi:10.1001/archsurg.1960.01300030071009

Cited by 32 publications

(2 citation statements)

References 15 publications

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“…Esophageal peristalsis in normal patient (top) and absence of peristalsis in patient with achalasia (bot¬ tom). 8. Failure of relaxation of lower esophageal segment at cardioesophageal junction in achalasia.…”

Section: Treatmentmentioning

confidence: 99%

Achalasia of the Esophagus

Schröder¹,

Hatcher²

1967

JAMA

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Achalasia of the esophagus is characterized by lack of neuromuscular coordination, which results in an absence of normal peristalsis in the body of the esophagus and a failure of relaxation of the lower segment. It is a frequent cause of esophageal obstruction. Symptoms of achalasia include dysphagia, regurgitation (nocturnal overflow), substernal discomfort, recurrent pulmonary infection, and weight loss. The diagnosis of achalasia is established by esophagoscopy, x-ray examinations (routine posterioanterior and lateral views), barium swallow and cinefluoroscopy, and esophageal motility studies. Treatment consists of bougienage, forceful dilation, and Heller esophagocardiomyotomy.School of Medicine. Atlanta.

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Section: Treatmentmentioning

confidence: 99%

Achalasia of the Esophagus

Schröder¹,

Hatcher²

1967

JAMA

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“…Good results in nearly 80 % o f the operated patients have been reported by several authors (4,6,12,16,18,20). The main goal o f this treatment is to divide the gastroesophageal sphincter muscular fibers in order to obtain an adequate emptying o f the distal esophagus to the stomach.…”

mentioning

confidence: 97%

Long-Term Clinical, Radiological and Manometric Follow-Up of Patients with Achalasia of the Esophagus Treated with Esophagomyotomy

et al. 1975

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Twenty adult patients with achalasia of the esophagus were treated with an anterior esophagomyotomy and fundic patch. A significant decrease in resting gastroesophageal sphincter pressure was obtained immediately after surgery (p < 0.001). One case was lost and the rest were followed up for 34 months. Patients had no esophageal symptoms and resting gastroesophageal sphincter pressure remained in low values. Surgical procedure is an adequate and definitive treatment for this disease.

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