A la exploracion fisica, paciente deshidratado con palidez +/++++ de piel y mucosas, con sonda nasogastrica a derivacion con gasto biliar, con abdomen globoso a expensas de distension abdominal, poco depresible por dolor, aperistalsis
, sin megalias, con signo de Von Blumberg positivo, clinicamente sin tolerar la via oral y sin evacuaciones.
was observed in one-third of our patients.
The diagnostic criterion for achalasia is at least consistent with the following items: barium esophagogram may reveal a classic "bird's break" appearance, esophageal dilation, or a corkscrew appearance with aperistalsis
; HRM manifests aperistalsis
and failure of relaxation of the LES [15, 16].
Initial ultrasound examination showed a moderately dilated fetal stomach, distended bowel loops, and aperistalsis
on esophageal manometry confirmed diagnosis of achalasia.
Systemic manifestations include proximal myopathy, inflammatory polyarthritis, central nervous system symptoms, esophageal aperistalsis
, and hoarseness.
(1) Achalasia is characterised by oesophageal aperistalsis
and increased resting pressure with partial or incomplete relaxation of the lower oesophageal sphincter.
In the oesophageal phase, complete aperistalsis
, simultaneous oesophageal spasms, slower oesophageal transit, and deficit in sphincter relaxation and pressure have been the predominantly observed abnormalities [67, 70].
On imaging and manometry, achalasia is further characterized by esophageal aperistalsis
and failure of the lower esophageal sphincter to relax.
(2) Achalasia is a disease of unclear etiology, characterized by aperistalsis
in the body of the esophagus and failure of relaxation in the lower esophageal sphincter (LES).
Achalasia is characterized by an incomplete relaxation of the lower esophageal sphincter (LES) accompanied by aperistalsis
of the esophageal body.
Achalasia is an idiopathic motility disorder of the oesophagus characterised by aperistalsis
of the oesophageal body and incomplete relaxation of the lower oesophageal sphincter during swallowing (1).