Related Experiment Video
Updated: Sep 9, 2025

Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
Stage IVA Esophageal Adenocarcinoma Diagnosed Post-Esophagectomy for End-Stage Achalasia
Francisco M Pascual1, Charles Cavalaris2, Shreya Narayanan2
1Department of Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, USA.
Abstract:
Achalasia is a disorder of unknown etiology that disrupts esophageal motility and esophagogastric junction outflow. Many long-term complications are associated with achalasia, including progression to megaesophagus and an increased risk for esophageal cancer. While current guidelines recommend against routine screening for cancer in patients with achalasia, many experts believe that routine endoscopic or radiographic screening at a yet-to-be-determined interval could provide essential data beyond evaluating for cancer. Herein, we present a case of stage IVA esophageal adenocarcinoma diagnosed post-esophagectomy in a patient with end-stage achalasia who underwent irregularly spaced, infrequent endoscopic evaluation.
Related Concept Videos
Barrett Esophagus-II: Clinical Manifestations and Management
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Barrett Esophagus-I: Introduction
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
Esophagus
The movement of edibles from the pharynx into the esophagus is facilitated by the upper esophageal sphincter, which is formed primarily by the...

