Tuesday, December 28, 2010

Cardiac Achalasia

It is characterised by the absence of peristalsis in the body
of oesophagus and high resting pressure in lower
oesophageal sphincter; the latter also does not relax during
swallowing.
The symptoms of cardiac achalasia include dysphagia,
which is more to liquids than solids (reverse of that seen
in malignancy or strictures) and regurgitation of swallowed
food particularly at night.
The diagnosis is made by: (a) radiography (barium
swallow shows dilated oesophagus with narrowed rat tail
Lower end), sumetimes also called bird-beak appearance;
(b) manometric studies (low pressure in the body of
oesophagus and high pressure at lower sphincter and failure
of the sphincter to relax); (c) endoscopy (to exclude
benign stricture or any development of carcinoma which
is a common complication of this disorder.
The treatment of choice is the modified Heller's operation
(myotomy of the narrowed lower portion of the
oesophagus). Forceful pneumatic dilatation of the lower
oesophagus can be done in those unfit for surgery.

3 comments:

  1. Lots of positive treatments are also accessible to recover achalasia;  Natural Treatment for Achalasia  intended and formed by Natural Herbs Clinic. Natural recovery option gets useful the purpose of tube which is responsible for taking food from the mouth to esophagus.

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  2. 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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  3. My brother was also suffering from achalasia and used to face great difficulty in consuming any type of food. We took him for treatment at the intensive case management services, and they suggested us to be ready for immediate surgery. Due to their experienced medical professionals, the surgical procedure was a success.

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