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Pseudoachalasia Secondary to Metastatic Osteosarcoma.
Cureus
November 2024
Gastroenterology and Hepatology, Command Hospital, Kolkata, IND.
Pseudoachalasia is a disorder in which symptoms, radiologic, endoscopic, and manometric results resemble idiopathic achalasia. Although these diagnoses may appear similar, their underlying causes and therapy differ significantly. Pseudoachalasia is frequently associated with malignancy, particularly primary adenocarcinoma of the esophagus or cardia.
View Article and Find Full Text PDFResolution of Sigmoid Esophagus After Laparoscopic Adjustable Gastric Band Removal.
Cureus
August 2024
Bariatric Surgery, Marshall University Joan C. Edwards School of Medicine, Huntington, USA.
Pseudoachalasia is a known complication following a gastric band placement that is reversible with band removal. However, the development of a sigmoid esophagus is uncommon. Sigmoid esophagus is considered late-stage achalasia and is associated with worse outcomes with myotomy compared to earlier-stage achalasia.
View Article and Find Full Text PDFSurgical Management of Persistent or New Symptoms After Hiatal Hernia Repair.
J Vis Exp
May 2024
Department of Surgery, MedStar Georgetown University Hospital; Department of Surgery, Division of Thoracic Surgery, MedStar Washington Hospital Center; Department of Surgery, Division of Thoracic Surgery, Sheikh Shakhbout Medical City;
Following a hiatal hernia repair, patients can present with recurrent or new symptoms. Symptoms can occur anywhere from weeks to years after surgery. These may include recurrent reflux, dysphagia, regurgitation, weight loss, or deteriorating quality of life.
View Article and Find Full Text PDFComplex Antiplatelet Therapy Management in Patients Requiring Urgent Interventions for Pseudoachalasia and Esophageal Obstruction.
Cureus
March 2024
Internal Medicine, Florida Atlantic University, Boca Raton, USA.
This case report describes the use of intravenous (IV) cangrelor as a transient tool for antiplatelet bridging therapy in a 70-year-old male with coronary artery disease and esophageal strictures who underwent recent percutaneous coronary intervention (PCI) and subsequently required a pre-oral endoscopic myomectomy (POEM) procedure. The patient was switched from oral clopidogrel to IV cangrelor drip prior to the procedure, which was successful in preventing stent thrombosis. The case highlights the potential benefits of IV antiplatelet therapy in patients unable to tolerate oral medications in the setting of esophageal obstructions following recent coronary stent placement in a critical care setting.
View Article and Find Full Text PDFAbnormal performance of peroral endoscopic myotomy (POEM): a case misdiagnosed as achalasia of cardia.
J Cardiothorac Surg
April 2024
Department of Thoracic Surgery, Affiliated Hospital of Qingdao University, 16 Jiangsu Road, Shinan District, Qingdao, Shandong Province, China.
Background: Pseudoachalasia is a rare disease that behaves similarly to achalasia (AC), making it sometimes difficult to differentiate.
Case Presentation: We report a case of 49-year-old male with adenocarcinoma of the gastroesophageal junction misdiagnosed as achalasia. No obvious abnormalities were found in his initial examinations including upper digestive endoscopy, upper gastrointestinal imaging and chest computed tomography (CT).
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