Achalasia cardia associated with esophageal varices: a therapeutic dilemma

 
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Journal part (EN)
Scientific article (EN)
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)
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Hellenic Society of Gastroenterology
Annals of Gastroenterology
Case Reports
English
2013-06-12
http://www.annalsgastro.gr/index.php/annalsgastro/article/view/1304
Hellenic Society of Gastroenterology (EN)
1792-7463
1108-7471
Annals of Gastroenterology; Volume 26, No 3 (2013); 258 (EN)



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