26 results
Achalasia Management Algorithm
 - Botulinum Injection
 - Pharmacotherapy (CCB/nitrates)
 - Pneumatic Dilation
 - Peroral Endoscopic Myotomy
Achalasia Management ... Esophagectomy #Achalasia
Achalasia Management Options - Decision Aid
- Peroral endoscopic Myotomy (POEM)
- Laparoscopic Heller myotomy (LHM)
- Pneumatic Dilatation
Achalasia Management ... ) - Botox #Achalasia
Achalasia on Endoscopy - Retroflexion View

53yo male referred for achalasia. Previous tx: transthoracic myotomy (80’s), then
Achalasia on Endoscopy ... male referred for achalasia ... RobertBechara #Achalasia
Achalasia on Endoscopy
53yo male referred for achalasia. Previous tx: transthoracic myotomy (80’s), then take down of
Achalasia on Endoscopy ... male referred for achalasia ... RobertBechara #Achalasia
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Management of Achalasia ... classification for achalasia ... subtypes • Achalasia ... < 30 mm Hg • Achalasia ... > 30 mm Hg • Achalasia
Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
Achalasia Classification ... suggestive of end stage achalasia ... #Achalasia #Classification
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Achalasia Summary ... or idiopathic achalasia ... Secondary achalasia ... Achalasia has an ... The diagnosis of achalasia
Sigmoid Esophagus on EGD

By Andrés Rodríguez Parra, MD @RodriguezParra_

#Sigmoid #Esophagus #EGD #endoscopy #clinical #achalasia
endoscopy #clinical #achalasia
There is displacement of the azygoesophageal line both superiorly an inferiorly.
There is an air-fluid level (arrow).
Combined
diagnosis was achalasia ... Radiology #CXR #Achalasia
Here we have a prior CXR of this patient.
The AP-film shows a right paratracheal mass.
The azygoesophageal
#CXR #CTChest #Achalasia