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.
La acalasia es un proceso cronico e incurable, caracterizado por la incompleta relajacion del esfinter esofagico inferior y aperistalsis
del cuerpo esofagico causando incapacidad para el paso de los alimentos, referido clinicamente como disfagia, dolor retroesternal, y malnutricion.
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).
2%) patients, aperistalsis
of the oesophageal body was demonstrated on fluoroscopy.
Esophageal resection with reconstruction for peptic strictures is reserved for strictures that cannot be adequately dilated, rapid recurrence of a stricture after dilatation, or an irreversibly damaged esophagus with transmural fibrosis and evidence of aperistalsis
La manometria esofagica revelo aperistalsis
en 100%, con falta de relajacion del EEI a la deglucion.