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Updated: May 1, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
Achalasia cardia associated with esophageal varices: a therapeutic dilemma
Surinder Singh Rana1, Deepak Kumar Bhasin1, Chalapathi Rao1
1Department of Gastroenterology, Post Graduate Institute of Medical Education and Research -PGIMER (Surinder Singh Rana, Deepak Kumar Bhasin, Chalapathi Rao, Kartar Singh), Chandigarh, India.
Abstract:
A 63-year-old male, chronic alcohol consumer, presented with progressively increasing dysphagia of 6 months duration. Upper gastrointestinal endoscopy revealed dilated esophagus with residue along with esophageal varices. Esophageal manometry revealed findings suggestive of classic achalasia cardia. Endoscopic ultrasound (EUS) examination revealed peri-esophageal collaterals as well as prominent perforators at lower end of esophagus. The co-existence of varices with achalasia is very rare and this case posed a difficult therapeutic dilemma as risk of bleeding from the varices limited the treatment options available. This case was successfully treated with EUS-guided botulinum toxin injection.
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