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CT of the thorax in patients with achalasia
Digestive Diseases and Sciences
|August 1, 1983
Insights
Computed tomography (CT) can reveal signs of esophageal achalasia, aiding diagnosis even when not initially suspected. Further confirmation requires esophagography and manometric studies.
Area of Science:
- Radiology
- Gastroenterology
- Medical Imaging
Background:
- Achalasia is a primary esophageal motility disorder characterized by impaired relaxation of the lower esophageal sphincter and loss of peristalsis.
- Accurate diagnosis of achalasia is crucial for timely management and prevention of complications such as megaesophagus and aspiration pneumonia.
Observation:
- This study describes the computed tomographic (CT) appearance of achalasia in three patients.
- Key CT findings indicative of achalasia were analyzed.
Findings:
- Computed tomography demonstrates characteristic findings that can suggest the diagnosis of achalasia.
- These CT findings are valuable even in cases where achalasia is not clinically suspected.
Implications:
- CT imaging can serve as an important tool for the initial detection of esophageal achalasia.
- The described CT findings can prompt further diagnostic investigations like esophagography and manometry for definitive diagnosis.
Abstract:
The computed tomographic appearance of achalasia of the esophagus is described in three patients. The CT findings should enable one to suggest the diagnosis of achalasia even in those patients in whom this condition is not suspected. The final diagnosis can be confirmed by esophagography and manometric studies.