Unusual achalasic sigmoid esophagus

Achalasia cardia is a rare primary esophageal motility disorder with an incidence of about 1 in 100,000 individuals. If left untreated or inappropriately treated, the disease may progress to end-stage achalasia characterized by megaesophagus or sigmoid esophagus. The presentation as severe malnutri...

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Auteurs principaux: Narendra Pandit, Vijay Shrestha, Laligen Awale, Lokesh Shekher Jaiswal
Format: article
Langue:EN
Publié: Society of Surgeons of Nepal 2019
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Accès en ligne:https://doaj.org/article/f501bedfccba44b197d60b81d0d73869
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spelling oai:doaj.org-article:f501bedfccba44b197d60b81d0d738692021-12-05T19:15:47ZUnusual achalasic sigmoid esophagus10.3126/jssn.v22i2.287431815-39842392-4772https://doaj.org/article/f501bedfccba44b197d60b81d0d738692019-12-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/28743https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Achalasia cardia is a rare primary esophageal motility disorder with an incidence of about 1 in 100,000 individuals. If left untreated or inappropriately treated, the disease may progress to end-stage achalasia characterized by megaesophagus or sigmoid esophagus. The presentation as severe malnutrition, anemia, hypoalbuminemia, and asymptomatic tracheal compression has not been described in the setting of the sigmoid esophagus, in absence of underlying malignancy. Here we report an interesting case of a young male, who presented with the above features and managed excellently by open Heller’s myotomy under epidural anesthesia due to the poor performance status. Narendra PanditVijay ShresthaLaligen AwaleLokesh Shekher JaiswalSociety of Surgeons of NepalarticleAchalasia cardiaHeller's myotomyMalnutritionSigmoid esophagusSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 22, Iss 2 (2019)
institution DOAJ
collection DOAJ
language EN
topic Achalasia cardia
Heller's myotomy
Malnutrition
Sigmoid esophagus
Surgery
RD1-811
spellingShingle Achalasia cardia
Heller's myotomy
Malnutrition
Sigmoid esophagus
Surgery
RD1-811
Narendra Pandit
Vijay Shrestha
Laligen Awale
Lokesh Shekher Jaiswal
Unusual achalasic sigmoid esophagus
description Achalasia cardia is a rare primary esophageal motility disorder with an incidence of about 1 in 100,000 individuals. If left untreated or inappropriately treated, the disease may progress to end-stage achalasia characterized by megaesophagus or sigmoid esophagus. The presentation as severe malnutrition, anemia, hypoalbuminemia, and asymptomatic tracheal compression has not been described in the setting of the sigmoid esophagus, in absence of underlying malignancy. Here we report an interesting case of a young male, who presented with the above features and managed excellently by open Heller’s myotomy under epidural anesthesia due to the poor performance status.
format article
author Narendra Pandit
Vijay Shrestha
Laligen Awale
Lokesh Shekher Jaiswal
author_facet Narendra Pandit
Vijay Shrestha
Laligen Awale
Lokesh Shekher Jaiswal
author_sort Narendra Pandit
title Unusual achalasic sigmoid esophagus
title_short Unusual achalasic sigmoid esophagus
title_full Unusual achalasic sigmoid esophagus
title_fullStr Unusual achalasic sigmoid esophagus
title_full_unstemmed Unusual achalasic sigmoid esophagus
title_sort unusual achalasic sigmoid esophagus
publisher Society of Surgeons of Nepal
publishDate 2019
url https://doaj.org/article/f501bedfccba44b197d60b81d0d73869
work_keys_str_mv AT narendrapandit unusualachalasicsigmoidesophagus
AT vijayshrestha unusualachalasicsigmoidesophagus
AT laligenawale unusualachalasicsigmoidesophagus
AT lokeshshekherjaiswal unusualachalasicsigmoidesophagus
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