Abstract
Achalasia is an esophageal motility disorder that causes peristaltic dysfunction and failure of the lower esophageal sphincter (LES) to relax upon swallowing. Pseudoachalasia is a mimicker of achalasia, but its pathophysiology and treatments are different. We present a case of an elderly woman with dysphagia. Manometry was most consistent with type II achalasia. Ultimately, the diagnosis of dysphagia aortica causing pseudoachalasia from a large, compressing thoracic aorta endoleak after a thoracic endovascular aneurysm repair (TEVAR) was made. This diagnosis altered her management course, avoiding possible intervention such as peroral endoscopic myotomy (POEM) versus laparoscopic Heller myotomy (LHM).
Original language | English (US) |
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Pages (from-to) | 34-36 |
Number of pages | 3 |
Journal | Practical Gastroenterology |
Volume | 44 |
Issue number | 10 |
State | Published - Oct 2020 |
ASJC Scopus subject areas
- Gastroenterology