Achalasia: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
== | ==Evaluation== | ||
*Upper GI | *Upper GI | ||
**Esophageal dilatation | **Esophageal dilatation | ||
Revision as of 10:38, 22 July 2016
Background
- Inability of LES to relax and loss of normal peristalsis
Clinical Features
- Dysphagia
- Regurgitation
- Chest pain
- Esophageal spasm can be eight, crushing retrosternal much like ACS
Differential Diagnosis
Evaluation
- Upper GI
- Esophageal dilatation
- Birds beak sign
- Esophageal Manometry
Management
- Trial of antispasmodic for Esophageal Spasm
- Nifedipine
- Surgical intervention
- Baloon dilatation
- Botulinum toxin injection
- Myomectomy