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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
Summary
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.
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