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Achalasia with megaesophagus and tracheal compression in a young patient: A case report
INTRODUCTION: Achalasia is one of the most common causes of dysphagia. Typical symptoms include difficulties in controlling the swallowing process, regurgitation, weight loss, and chest pain. A megaesophagus rarely causes tracheal compression with consecutive acute dyspnea or similar respiratory sym...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4573207/ https://www.ncbi.nlm.nih.gov/pubmed/26209755 http://dx.doi.org/10.1016/j.ijscr.2015.06.020 |
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author | Kaths, J. Moritz Foltys, Daniel B. Scheuermann, Uwe Strempel, Mari Niebisch, Stefan Ebert, Maren Jansen-Winkeln, Boris Gockel, Ines Lang, Hauke |
author_facet | Kaths, J. Moritz Foltys, Daniel B. Scheuermann, Uwe Strempel, Mari Niebisch, Stefan Ebert, Maren Jansen-Winkeln, Boris Gockel, Ines Lang, Hauke |
author_sort | Kaths, J. Moritz |
collection | PubMed |
description | INTRODUCTION: Achalasia is one of the most common causes of dysphagia. Typical symptoms include difficulties in controlling the swallowing process, regurgitation, weight loss, and chest pain. A megaesophagus rarely causes tracheal compression with consecutive acute dyspnea or similar respiratory symptoms. PRESENTATION OF CASE: A 23-year-old male patient presented with difficulties in swallowing, a consecutive massive weight loss over the past three years, and minor respiratory ailments. Further diagnostics revealed a megaesophagus caused by achalasia leading to a severe compression of the trachea. A laparoscopic Heller myotomy with anterior semi-fundoplication 180° according to Dor was performed. DISCUSSION: Acute dyspnea and similar respiratory symptoms are rarely observed in patients with achalasia, especially in young patients. Early diagnosis and timely, proper treatment are the hallmarks of restoring esophageal and tracheobronchial function and of successful prevention of severe long-lasting complications of the disease. When not treated properly, the disease may have progressed rapidly, leading to distinct respiratory symptoms such as stridor and acute dyspnea CONCLUSION: This report emphasizes that physicians should be alert and consider airway obstruction and signs of dyspnea as severe and threatening symptoms in extensive cases of achalasia with megaesophagus. Early surgical treatment provides a therapeutic option to obviate the occurrence of acute respiratory distress and consecutive complications. In particular, difficulties in intubation prior to surgery must be considered. |
format | Online Article Text |
id | pubmed-4573207 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-45732072015-10-19 Achalasia with megaesophagus and tracheal compression in a young patient: A case report Kaths, J. Moritz Foltys, Daniel B. Scheuermann, Uwe Strempel, Mari Niebisch, Stefan Ebert, Maren Jansen-Winkeln, Boris Gockel, Ines Lang, Hauke Int J Surg Case Rep Case Report INTRODUCTION: Achalasia is one of the most common causes of dysphagia. Typical symptoms include difficulties in controlling the swallowing process, regurgitation, weight loss, and chest pain. A megaesophagus rarely causes tracheal compression with consecutive acute dyspnea or similar respiratory symptoms. PRESENTATION OF CASE: A 23-year-old male patient presented with difficulties in swallowing, a consecutive massive weight loss over the past three years, and minor respiratory ailments. Further diagnostics revealed a megaesophagus caused by achalasia leading to a severe compression of the trachea. A laparoscopic Heller myotomy with anterior semi-fundoplication 180° according to Dor was performed. DISCUSSION: Acute dyspnea and similar respiratory symptoms are rarely observed in patients with achalasia, especially in young patients. Early diagnosis and timely, proper treatment are the hallmarks of restoring esophageal and tracheobronchial function and of successful prevention of severe long-lasting complications of the disease. When not treated properly, the disease may have progressed rapidly, leading to distinct respiratory symptoms such as stridor and acute dyspnea CONCLUSION: This report emphasizes that physicians should be alert and consider airway obstruction and signs of dyspnea as severe and threatening symptoms in extensive cases of achalasia with megaesophagus. Early surgical treatment provides a therapeutic option to obviate the occurrence of acute respiratory distress and consecutive complications. In particular, difficulties in intubation prior to surgery must be considered. Elsevier 2015-06-26 /pmc/articles/PMC4573207/ /pubmed/26209755 http://dx.doi.org/10.1016/j.ijscr.2015.06.020 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Kaths, J. Moritz Foltys, Daniel B. Scheuermann, Uwe Strempel, Mari Niebisch, Stefan Ebert, Maren Jansen-Winkeln, Boris Gockel, Ines Lang, Hauke Achalasia with megaesophagus and tracheal compression in a young patient: A case report |
title | Achalasia with megaesophagus and tracheal compression in a young patient: A case report |
title_full | Achalasia with megaesophagus and tracheal compression in a young patient: A case report |
title_fullStr | Achalasia with megaesophagus and tracheal compression in a young patient: A case report |
title_full_unstemmed | Achalasia with megaesophagus and tracheal compression in a young patient: A case report |
title_short | Achalasia with megaesophagus and tracheal compression in a young patient: A case report |
title_sort | achalasia with megaesophagus and tracheal compression in a young patient: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4573207/ https://www.ncbi.nlm.nih.gov/pubmed/26209755 http://dx.doi.org/10.1016/j.ijscr.2015.06.020 |
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