Achalasia Flashcards
1
Q
Aetiologies?
A
Idiopathic
2
Q
Pathology?
A
Progressive degeneration of the myenteric plexus
leads to the LOS no longer being able to relax
3
Q
Signs and Symptoms?
A
Progressive weight loss
Dysphagia
Chest pain
Regurgitation
4
Q
Investigations and findings?
A
Manometry - diagnostic
Barium swallow - corkscrew pattern of oesophagus
5
Q
Management?
A
Sympathetic inhibitors
Botulinum injection into LOS
Pneumatic dilatation
Surgical myotomy
6
Q
Complications?
A
Aspiration pneumonia
Squamous cell oesophageal carcinoma