Presbyoesophagus

Case contributed by Dr Chris O'Donnell

Presentation

Long-standing symptoms of dysphagia and heartburn

Patient Data

Age: 85
Gender: Female
Modality: X-ray

Gas-filled distension of the oesophagus in the posterior mediastinum (arrows) associated with a hiatus hernia

Barium swallow

Modality: Fluoroscopy

Dilated, patulous oesophagus throughout its length with poor contractility/peristalsis and a sliding hiatus hernia.   No stricture such as achalasia.

Case Discussion

Presbyoesophagus is a controversial diagnosis and is probably not just due to old age but associated with chronic reflux and hiatus hernia (that is more commonly seen in the elderly).  It is characterized by a dilated oesophagus showing poor contractility or tertiary contractions but no stricture.  It is a cause of dysphagia in the elderly.

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Case Information

rID: 37264
Case created: 1st Jun 2015
Last edited: 17th Nov 2015
Inclusion in quiz mode: Included

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