Achalasia - Ix and management Flashcards
1
Q
What does a chest x ray show in achalasia?
A
Dilated oesophagus with retrocardial fluid
2
Q
Name 3 investigations for achalasia in the oesophagus?
A
- Barium swallow
- Endoscopy
- Oesophageal manometer
3
Q
What does a barium swallow show in achalasia?
A
‘Bird’s beak appearance’
4
Q
Mx of mild symtoms
A
Calcium channel blocker - promotes smooth muscle contractions
5
Q
Mx of moderate - severe symptoms
A
- Balloon dilation
2. Botulinium toxin
6
Q
Mx of severe symptoms
A
Laptoscoptic - Heller myotomy
