Esophageal achalasia. Case report

Authors

Keywords:

esophageal achalasia, diagnosis, therapeutics

Abstract

Introduction: the term esophageal achalasia refers to a limitation in the emptying of the food bolus at the esophageal level associated with a failure in relaxation.
Case report: this is a male patient, 13 years old, who came to the clinic for dysphagia to solids that progressed to liquids, saliva regurgitation and soft foods, with progressive weight loss. An X-ray of the esophagus, stomach, and duodenum was performed, which showed dilation of the esophagus, with a "pencil point" termination at the level of the esophagogastric junction, and an esophageal manometry that revealed an esophageal body in which there is no normal peristalsis, with uncoordinated or simultaneous (or both), repetitive, multipeak contractions of normal amplitude, not propulsive; the existence of vigorous-type esophageal achalasia was proposed as a diagnosis.
Conclusions: despite being a rare disease, it is important that specialists in Pediatrics and Surgery take this disease into consideration in the differential diagnosis of all patients with dysphagia, regurgitation and weight loss.

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Author Biographies

Armando Pérez Cardoso, Unidad Municipal de Higiene y Epidemiología de Manicaragua

Especialista en I Grado en Medicina General Integral. Especialista en I y II Grado en Epidemiología.

José Amadys Suárez Herrera, Hospital Provincial Clínico Quirúrgico Universitario "Arnaldo Milián Castro"

Especialista en I Grado en Medicina General Integral. Especialista en I Grado en Gastroenterología. Profesor Asistente en la Universidad de Ciencias Médicas de Villa Clara.

Eugenio Alejandro Reyes Medina, Hospital Provincial Clínico Quirúrgico Universitario "Arnaldo Milián Castro"

Especialista en I Grado en Medicina General Integral. Especialista en I Grado en Reumatología.

Oreime Arecibia Mendoza, Policlínico “50 Aniversario”

Especialista en I Grado en Medicina General Integral.

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Published

2022-10-01

How to Cite

1.
Pérez Cardoso A, Suárez Herrera JA, Reyes Medina EA, Arecibia Mendoza O. Esophageal achalasia. Case report. Acta Méd Centro [Internet]. 2022 Oct. 1 [cited 2025 Jul. 1];16(4):747-52. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/1746

Issue

Vol. 16 No. 4 (2022): October-December

Section

Case Reports

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