Wednesday, 23 May 2012

Achalasia

- caused by loss of ganglion cells within the esophageal myenteric plexus
- incidence 1:100,000
- presents at age between 25 and 60 years
- defined as reduced or absence of peristalsis and failure of lower esophageal sphincter to relax when swallowing
- presents with dysphagia, regurgitation, chest pain (esophageal spasm) and weight loss
- patient with advanced achalasia are at risk for bronchitis, pneumonia or lung abscess from chronic regurgitation and aspiration
- differential diagnoses are diffuse esophageal spasm (DES), Chagas' disease and pseudoachalasia (tumor infiltration)
- diagnosed by barium swallow X ray (dilated esophagus with poor emptying and air fluid level, tapering at the LES giving a beak-like appearance) and esophageal manometry (impaired LES relaxation and absent peristalsis)
- treatment: endoscopic pneumatic dilatation of LES (efficacy 32-98%), intra-sphincteric injection of botulinum toxin or Heller's cardiomyotomy 
- increased risk of esophageal squamous cell cancer secondary to prolonged stasis esophagitis

9 comments:

  1. Achalasia is basically the disorder of esophagus, in such your muscles and nerves do not tend to work in a proper manner, causing some swallowing difficulties, at times accompanied with chest pain, even regurgitation resulting breathing and coughing problems in case the food gets in your lungs. Luckily, Herbs Solutions By Nature has the best treatment possible for this disease, by the name of Celseton.

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  2. Achalasia cure symptoms, diagnosis and diet treatment by herbal care products company. We prefer to Achnical for Achalasia Natural Remedies. It have amazing results for it. Without anyone other, solutions taken by mouth are likely to give just fleeting and not long term relief of the side effects of achalasia. Herbal Care Products are helpful in this situation and they have no side effects.

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  3. Achalasia is a condition where the throat can't move food into the stomach. Individuals. Achalasia Natural Treatment can sometimes help the much or significantly more and they're typically shoddy. Herbs Solutions By Nature are offering Celseton, an Herbal Supplements made out of 100% natural ingredients.

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  4. Natural Treatment for Achalasia read about the Symptoms, Causes and Diagnosis. Natural Herbal Treatment for Achalasia with Herbal Product Celseton Natural Supplement for primarily a disorder of motility of the lower oesophageal.

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  5. Natural Treatment for Achalasia read about the Symptoms, Causes and Diagnosis. Natural Herbal Treatment for Achalasia with Herbal Product Celseton Natural Supplement for primarily a disorder of motility of the lower oesophageal.

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  6. Natural Remedies for Achalasia the weakness rises in the lower throat and the sphincter does not open correctly and don't allow the food to enter. It refers to the incapability of the influence to relax and hence the failure of the muscle. The Achalasia improves both after the surgical and the non-surgical treatment. The medical treatment for this disease is not durable.

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  7. Natural Treatment for Achalasia includes some most effective herbs and natural remedies to treat this disease. Herbal Supplement can help relieve the symptoms.

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