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Achalasia Cardia: A Case Series

Nibedita Chapagain1, Nishob Adhikari1, Bidur Prasad Acharya2

  • 1Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.

JNMA; Journal of the Nepal Medical Association
|October 6, 2024
PubMed

Insights

Achalasia cardia, a rare esophageal motility disorder, presents diagnostic challenges. Early recognition and surgical intervention like laparoscopic Heller

Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology

Background:

  • Achalasia cardia is a rare esophageal motility disorder affecting the lower esophageal sphincter and body.
  • Its diverse symptoms often lead to diagnostic delays.

Observation:

  • A case series of three patients diagnosed with achalasia cardia over nine months.
  • Patient 1 (18M) presented with dysphagia, diagnosed via barium swallow and high-resolution manometry (HRM).
  • Patient 2 (37F) experienced a prolonged diagnosis due to comorbidities; Patient 3 (47F) was diagnosed promptly.

Findings:

  • Barium swallow and HRM are key diagnostic tools for achalasia cardia.
  • All three cases demonstrated successful treatment outcomes.

Implications:

  • Highlights the need for heightened clinical suspicion and tailored diagnostic pathways for achalasia cardia.
  • Emphasizes the efficacy of laparoscopic Heller's myotomy with anterior Dor's fundoplication in managing achalasia cardia.
  • Underscores the importance of early diagnosis for improved patient outcomes in achalasia cardia.

Keywords:
Keywords: achalasia cardia; case reports; fundoplication; hyperthyroidism; manometry.

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