8 / 13
Page 43
Journal of Gastrointestinal & Digestive System | ISSN: 2161-069X | Volume 8
Clinical Gastroenterology and Hepatology
14
th
International Conference on
August 29-30, 2018 | Toronto, Canada
Achalasia
Edwin V Berenguer
Internal Medicine Remedios Trinidad Romualdez Medical Foundation, Philippines
A
58 years old man was admitted with the complaints of prolonged dysphagia and regurgitation of food and saliva. The patient had
some weight loss but no anorexia. Barium swallow esophagus showed marked dilatation of the esophagus with regular tapering
of its lower end. The patient was diagnosed as achalasia and advice for esophago-cardiomyotomy operation. Literature was reviewed
to compare currently available therapies for achalasia and it is recommended that the patient should undergo laparoscopic myotomy
and partial fundoplication (to prevent free reflux of gastric acid into the esophagus) for better remission. Other treatment modalities
such as Botulinum toxin injection and pneumatic dilation can offer dysphagia control, but they are temporary and reversible measures.
The objective of this case report is to review the currently available treatment modalities for the management of achalasia.
edz.intermed@gmail.comJ Gastrointest Dig Syst 2018, Volume 8
DOI: 10.4172/2161-069X-C6-080