Reversible Achalasia Due to Reticulum-Cell Sarcoma

Davis, John A.; Kantrowitz, Paul A.; Chandler, Harold L.; Schatzki, Stefan C.

doi:10.1056/nejm197507172930307

Cited by 54 publications

(17 citation statements)

References 5 publications

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“…Endoscop ic ultrasound might be helpful in selected cases [118]. Successful treatment of the un derlying tumor sometimes cures the pseudo achalasia [124,125,127], Chagas' disease (American trypanosomia sis) is a multisystem infectious disease caused by the protozoan T. cruzi and transmitted by a bite from reduviid (kissing) bugs [ 134]. The disease is endemic in Central and South America, affecting millions of people [150].…”

Section: Endoscopic Ultrasonography (Eus)mentioning

confidence: 99%

Achalasia: What’s New in Diagnosis and Treatment?

Birgisson

Richter²

1997

Dig Dis

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Section: Endoscopic Ultrasonography (Eus)mentioning

confidence: 99%

Achalasia: What’s New in Diagnosis and Treatment?

Birgisson

Richter²

1997

Dig Dis

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“…As noted previously, there have been several reports of achalasialike changes produced by neo- [3,8], hepatoma [11], lymphoma [6,7] and prostate [12] (see Table 1). There are a few reports of achalasia due to gastric carcinoma which, upon review of resected portions of the stomach and lower esophagus, revealed only minimal neoplastic involvement of the distal esophagus or sphincter [3,9,10].…”

Section: Discussionmentioning

confidence: 68%

“…There have been several reports of secondary achalasia produced by neoplasms remote from the lower esophageal junction, including lymphomas [6,7], bronchogenic carcinoma [3,8], and gastric neoplasms [9,10] not completely involving the cardia region. We present 2 additional cases.…”

mentioning

confidence: 99%

Achalasia secondary to nongastrointestinal malignancies

Feczko

Halpert

1985

Gastrointest Radiol

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Secondary or "pseudo" achalasia of the esophagus can mimic idiopathic achalasia radiographically and can be difficult to diagnose. Typically, it is due to invasive carcinoma involving the gastroesophageal junction, usually gastric adenocarcinoma. Occasionally, an achalasialike condition can be produced by tumors not involving the gastroesophageal junction. We report 2 cases, 1 of lung carcinoma and the other of hepatoma, in which the patients had radiographic and endoscopic changes compatible with achalasia. However, the onset of symptoms was abrupt and the patients were elderly; these are unusual features for primary achalasia. There have been several other reports of nongastrointestinal neoplasms producing a clinical and radiographic picture similar to achalasia. Although there are several theories as to the cause, our cases would support the concept that direct tumor involvement of the gastroesophageal junction is not necessary to produce significant esophageal dysmotility.

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“…Adenocarcinoma of the esophagogastric junction represents the most frequent diagnosis in patients with malignant pseudoachalasia, accounting for 70% of cases [3] . Other causes include lymphoma [4][5][6] and primary neoplasms from the lung, esophagus, liver, pancreas, colon, kidney, prostate, and breast [7][8][9][10][11][12][13][14] . Malignant mesothelioma has been infrequently associated with dysphagia.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic diagnosis of pleural mesothelioma presenting with pseudoachalasia

Saino¹,

Bona²,

Nencioni³

et al. 2009

WJG

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Pseudoachalasia due to pleural mesothelioma is an extremely rare condition. A 70-year-old woman presented with progressive dysphagia for solid and liquids and a mild weight loss. A barium swallow study revealed an esophageal dilatation and a smoothly narrowed esophagogastric junction. An esophageal manometry showed absence of peristalsis. Endoscopy demonstrated an extrinsic stenosis of the distal esophagus with negative biopsies. A marked thickening of the distal esophagus and a right-sided pleural effusion were evident at computed tomography (CT) scan, but cytological examination of the thoracic fluid was negative. Endoscopic ultrasound showed the disappearance of the distal esophageal wall stratification and thickening of the esophageal wall. The patient underwent an explorative laparoscopy. Biopsies of the esophageal muscle were consistent with the diagnosis of epithelioid type pleural mesothelioma. An esophageal stent was placed for palliation of dysphagia. The patient died four months after the diagnosis. This is the first reported case of pleural mesothelioma diagnosed through laparoscopy.

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Reversible Achalasia Due to Reticulum-Cell Sarcoma

Cited by 54 publications

References 5 publications

Achalasia: What’s New in Diagnosis and Treatment?

Achalasia: What’s New in Diagnosis and Treatment?

Achalasia secondary to nongastrointestinal malignancies

Laparoscopic diagnosis of pleural mesothelioma presenting with pseudoachalasia

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