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KMID : 0812020070130010072
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Korean Journal of Neurogastroenterology and Motility
2007 Volume.13 No. 1 p.72 ~ p.75
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A Case of Achalasia with Reflux Esophagitis
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Sun Der-Sheng
Chang Jae-Hyuck
Nam Kwan-Woo
Kwon Jung-Hyun
Suh Jung-Pil
Park Ho-Sung
Paik Chang-Nyol
Park Jae-Myung
Cho Yu-Kyung
Lee In-Seok
Kim Sang-Woo
Choi Myung-Gyu
Chung In-Sik
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Abstract
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Achalasia is characterized by esophageal nonperistaltic contraction and incomplete relaxation of the lower esophageal sphincter with swallowing, as can be seen on esophageal manometry. Since the low esophageal sphincter in gastroesophageal reflux disease (GERD) is hypotensive or inappropriately relaxed, achalasia has been considered quite distinct from GERD. The food in the low esophagus of a patient with achalasia can ferment and cause inflammation. GERD should be differentiated from retention esophagitis. We recently experienced a 32-year-old male patient who complained of chest pain. He was previously diagnosed with a variant of angina pectoris, but his symptoms did not improve with calcium channel blocker or nitrate. He was diagnosed with reflux esophagitis on esophagogastroduodenoscopy and 24 hour esophageal pH monitoring, and also with achalasia on the esophageal manometry. After esophageal balloon dilatation for treating the achalasia, his symptoms were much improved.
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KEYWORD
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Esophageal achalasia, Reflux esophagitis, Gastroesophageal reflux disease, Variant angina pectoris
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