Achalasia

Case contributed by Dr Kamel Mraidha

Presentation

Dysphagia with chronic vomiting.

Patient Data

Age: 8 years
Gender: Male
Barium

Esophageal dilatation with smooth symmetric, tapered narrowing of the distal esophagus that extended to the gastroesophageal junction.

Case Discussion

Achalasia is an esophageal motor disorder characterized by increased lower esophageal sphincter pressure, with diminished to absent peristalsis in the distal portion of the esophagus. Patients with achalasia commonly present with dysphagia to solids and liquids, regurgitation and chest pain.

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