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KMID : 0812020020080010053
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Korean Journal of Neurogastroenterology and Motility
2002 Volume.8 No. 1 p.53 ~ p.67
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A Case of Secondary Achalasia due to Recurrence of Stomach Cancer
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Park In-Ok
Jeon Woo-Kyu
Rhee Eun-Jung
Kim Byung-Ik
Park Seung-Ha
Kim Jeong-Wook
Yun Jung-Won
Cho Yong-Kyun
Park Chang-Young
Jung Soo-Suk
Lee Ho-Cheol
Sohn Chung-Il
Suh Jung-Yul
Lim Seong-Ho
Lee Jun-Haeng
Kim Chang-Sub
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Abstract
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Achalasia can be provoked by organic causes, and it is called secondary achalasia. Sometimes it is very difficult
to distingush secondary achalasia from primary achalasia. We report a case of secondary achalasia due to recurrence
of stomach cancer. A 45-year-old man came to our hospital due to three months history of dysphagia and regurgitation. Barium esophagogram showed concentric narrowing at the distal esophagus and dilatation of proximal esophagus. The esophagogastroduodenoscopy showed stenosis of gastroesophageal junction and the endoscope could not pass through it, but there was no evidence of malignancy. Esophageal manometry showed aperistalsis, compatible with achalasia. Abdominal CT showed soft tissue density near the gastroesophageal junction. However it was not possible to differentiate whether it was due to adhesion or malignancy. For correct diagnosis and treatment, explorolaparotomy was performed and it was diagnosed as secondary achalasia due to recurrence of stomach cancer.
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KEYWORD
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Secondary achalasia, Malignancy, Stomach cancer
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