Achalasia Flashcards

1
Q

Aetiologies?

A

Idiopathic

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2
Q

Pathology?

A

Progressive degeneration of the myenteric plexus

leads to the LOS no longer being able to relax

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3
Q

Signs and Symptoms?

A

Progressive weight loss
Dysphagia
Chest pain
Regurgitation

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4
Q

Investigations and findings?

A

Manometry - diagnostic

Barium swallow - corkscrew pattern of oesophagus

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5
Q

Management?

A

Sympathetic inhibitors
Botulinum injection into LOS
Pneumatic dilatation
Surgical myotomy

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6
Q

Complications?

A

Aspiration pneumonia

Squamous cell oesophageal carcinoma

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