Achalasia

Achalasia is a disease of oesophagus characterized by difficulty in swallowing food or drinking water

What Causes Achalasia Cardia

Achalasia Cardia is caused by impaired relaxation of lower oesophageal sphincter(LES).LES is a sphincter or valve between oesophagus and stomach.LES act as a one way valve,LES opens up,once the patient swallows food or drinking water.In between the meals,LES closes and prevent the upward movement of food or water

Symptoms of Achalasia are

  • Dysphagia-Difficulty in swallowing food or drinking water.
  • Odynophagia-Pain while swallowing solids or liquids.
  • Chest pain-Pain in central part of chest after the meals.
  • Weight Loss-Prolonged disease can lead to weight loss and nutritional deficiency.
  • Diagnosis

    • Upper GI endoscopy to rule out obstructing lesion
    • Barium swallow
    • High Resolution Esophageal manometry

    Treatment

    • Poem is the new and highly effective treatment for achalasia cardia.Poem is an endoscopic treatment ,during which very careful cutting of tight muscle fibres at GE junction is performed.For POEM procedure,patient is admitted for 48 hours.After POEM procedure,X ray is performed after 24 hours,and liquid diet is started.
    • Endoscopic pneumatic balloon dilatation
    • Surgery-Lap Heller’s myotomy
    • Botulinum injection

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