Achalasia Cardia: A Case Series

Achalasia cardia is a rare disorder that impacts the lower esophageal sphincter and esophageal body. Due to its wide range of symptoms, it can be difficult to diagnose. Here we report three cases of Achalasia Cardia during a period of 9 months. The first patient, an 18-year-old male, presented with...

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Bibliographic Details
Published in:Journal of Nepal Medical Association
Main Authors: Nibedita Chapagain, Nishob Adhikari, Bidur Prasad Acharya, Yugal Limbu, Roshan Ghimire
Format: Article
Language:English
Published: Nepal Medical Association 2024-06-01
Subjects:
achalasia cardia
case reports
fundoplication
hyperthyroidism
manometry
Online Access:https://www.jnma.com.np/jnma/index.php/jnma/article/view/8649
Description
Summary:Achalasia cardia is a rare disorder that impacts the lower esophageal sphincter and esophageal body. Due to its wide range of symptoms, it can be difficult to diagnose. Here we report three cases of Achalasia Cardia during a period of 9 months. The first patient, an 18-year-old male, presented with dysphagia and was evaluated with barium swallow and high-resolution manometry (HRM) revealing Achalasia Cardia. In the second case, a 37-year-old female had a prolonged diagnostic journey due to multiple comorbidities before a barium swallow finally revealed achalasia cardia. The third patient, a 47-year-old female was promptly diagnosed with barium swallow. All the cases were successfully treated with laparoscopic Heller’s myotomy with anterior Dor’s fundoplication. This case series highlights the potential for delayed diagnosis and the importance of early recognition, tailored diagnostic approaches, and the efficacy of surgical management.
ISSN:0028-2715
1815-672X

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