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KMID : 0614620190730020105
Korean Journal of Gastroenterology
2019 Volume.73 No. 2 p.105 ~ p.108
Achalasia Cardia Resulting in Bronchial Obstruction - A Case Series and Literature Review
Then Eric Omar

Sunkara Tagore
John Febin
Dewnani Kishore Kumar
Culliford Andrea
Gaduputi Vinaya
Abstract
Achalasia is a motility disorder of the esophagus that is characterized by loss of ganglionic neurons within the myenteric plexus of the lower esophageal sphincter (LES) resulting in failure of the LES to relax. Clinically this disorder presents with simultaneous dysphagia to solids and liquids, and if left untreated, leads to esophageal dilation, which can give rise to many adverse consequences. Extrinsic compression of respiratory structures is one such consequence, and rarely, cases of tracheal compression secondary to achalasia have been reported. However, cases of extrinsic bronchial compression are yet rarer. Here, we present a case series comprised of two patients with achalasia who presented with extrinsic bronchial compression by a dilated esophagus secondary to achalasia.
KEYWORD
Esophageal achalasia, Dysphagia, Airway obstruction, Heller myotomy, Esophageal motility disorders
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