Achalasia cardia associated with esophageal varices: a therapeutic dilemma

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2013 (EN)
Achalasia cardia associated with esophageal varices: a therapeutic dilemma (EN)

Rao, Chalapathi
Rana, Surinder Singh
Sarwal, Rajiv
Bhasin, Deepak Kumar
Singh, Kartar

A 63-year-old male, chronic alcohol consumer, presented with progressively increasing dysphagia of 6 months duration. Upper gastrointestinal endoscopy revealed dilated esophagus with residue along with esophageal varices. Esophageal manometry revealed findings suggestive of classic achalasia cardia. Endoscopic ultrasound (EUS) examination revealed peri-esophageal collaterals as well as prominent perforators at lower end of esophagus. The co-existence of varices with achalasia is very rare and this case posed a difficult therapeutic dilemma as risk of bleeding from the varices limited the treatment options available. This case was successfully treated with EUS-guided botulinum toxin injection.Keywords Achalasia cardia, endoscopic ultrasound, cirrhosis, varices (EN)




Hellenic Society of Gastroenterology (EN)

Annals of Gastroenterology; Volume 26, No 3 (2013); 258 (EN)

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