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Achalasia in patients over 65

D B Simmons1, B M Schuman, J W Griffin

  • 1Section of Gastroenterology, Medical College of Georgia, USA.

The Journal of the Florida Medical Association
|February 1, 1997
PubMed
Summary

Elderly patients with achalasia (a rare esophageal motility disorder) primarily experience dysphagia. Pneumatic dilatation shows high efficacy for achalasia treatment in older adults.

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Area of Science:

  • Gastroenterology
  • Esophageal Motility Disorders

Background:

  • Achalasia is a rare esophageal motility disorder of unknown cause.
  • It involves aperistalsis, increased lower esophageal sphincter (LES) tone, and impaired LES relaxation.
  • Some features overlap with non-disease states, particularly in older populations.

Purpose of the Study:

  • To investigate the clinical presentation and treatment response of newly diagnosed achalasia in patients over 65.
  • To compare these findings with those typically reported in younger achalasia patients.

Main Methods:

  • Retrospective review of achalasia cases in patients aged 65 and older.
  • Analysis of presenting symptoms and response to pneumatic dilatation therapy.

Main Results:

  • Dysphagia was the predominant symptom in elderly achalasia patients, consistent with younger cohorts.
  • Chest pain was significantly less frequent in the elderly group compared to younger patients.
  • Pneumatic dilatation demonstrated a high response rate in this older patient group.

Conclusions:

  • Elderly patients with achalasia present similarly regarding dysphagia but less frequently with chest pain.
  • Pneumatic dilatation is an effective treatment for achalasia in older adults, with high response rates.
  • These findings support earlier research on the efficacy of pneumatic dilatation in geriatric achalasia patients.

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