Achalasia - two types in the same patient: Case report

Introduction. A paper presented a case of esophageal achalasia with both type 2 and type 3 achalasia found in the same patient. Case Outline. High resolution impedance manometry of esophagus was performed. Liquid swallows induced panesophageal pressurization (achalasia type 2), whereas visc...

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Main Authors: Jovanović Igor D., Jovanović Dragana R., Uglješić Milenko, Milinić Nikola, Cvetković Mirjana, Branković Marija, Nikolić Goran
Format: Article
Language:English
Published: Serbian Medical Society 2013-01-01
Series:Srpski Arhiv za Celokupno Lekarstvo
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0370-8179/2013/0370-81791312807J.pdf
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author Jovanović Igor D.
Jovanović Dragana R.
Uglješić Milenko
Milinić Nikola
Cvetković Mirjana
Branković Marija
Nikolić Goran
author_facet Jovanović Igor D.
Jovanović Dragana R.
Uglješić Milenko
Milinić Nikola
Cvetković Mirjana
Branković Marija
Nikolić Goran
author_sort Jovanović Igor D.
collection DOAJ
description Introduction. A paper presented a case of esophageal achalasia with both type 2 and type 3 achalasia found in the same patient. Case Outline. High resolution impedance manometry of esophagus was performed. Liquid swallows induced panesophageal pressurization (achalasia type 2), whereas viscous swallows led to compartmentalized pressurization - distal two thirds of esophagus (achalasia type 3). No complete bolus transit was recorded. Patient refused any procedure. Conclusion. The aim of this paper was to show the necessity of performing manometry using both liquid and viscous swallows in GI departments where this approach has not been routinely used in order to establish proper diagnosis since therapy approach is different between type 2 and type 3 achalasia.
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spelling doaj.art-8fc5a6cab34441ee8f1560240d2524d82022-12-21T17:26:11ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792013-01-0114111-1280780910.2298/SARH1312807J0370-81791312807JAchalasia - two types in the same patient: Case reportJovanović Igor D.0Jovanović Dragana R.1Uglješić Milenko2Milinić Nikola3Cvetković Mirjana4Branković Marija5Nikolić Goran6Kliničko-bolnički centar „Bežanijska kosa“, BeogradKlinički centar Srbije, BeogradKlinički centar Srbije, BeogradKliničko-bolnički centar „Bežanijska kosa“, BeogradKliničko-bolnički centar „Bežanijska kosa“, BeogradKliničko-bolnički centar „Bežanijska kosa“, BeogradKliničko-bolnički centar „Bežanijska kosa“, BeogradIntroduction. A paper presented a case of esophageal achalasia with both type 2 and type 3 achalasia found in the same patient. Case Outline. High resolution impedance manometry of esophagus was performed. Liquid swallows induced panesophageal pressurization (achalasia type 2), whereas viscous swallows led to compartmentalized pressurization - distal two thirds of esophagus (achalasia type 3). No complete bolus transit was recorded. Patient refused any procedure. Conclusion. The aim of this paper was to show the necessity of performing manometry using both liquid and viscous swallows in GI departments where this approach has not been routinely used in order to establish proper diagnosis since therapy approach is different between type 2 and type 3 achalasia.http://www.doiserbia.nb.rs/img/doi/0370-8179/2013/0370-81791312807J.pdfachalasiabolusesophagushigh resolution impedance manometrytransit
spellingShingle Jovanović Igor D.
Jovanović Dragana R.
Uglješić Milenko
Milinić Nikola
Cvetković Mirjana
Branković Marija
Nikolić Goran
Achalasia - two types in the same patient: Case report
Srpski Arhiv za Celokupno Lekarstvo
achalasia
bolus
esophagus
high resolution impedance manometry
transit
title Achalasia - two types in the same patient: Case report
title_full Achalasia - two types in the same patient: Case report
title_fullStr Achalasia - two types in the same patient: Case report
title_full_unstemmed Achalasia - two types in the same patient: Case report
title_short Achalasia - two types in the same patient: Case report
title_sort achalasia two types in the same patient case report
topic achalasia
bolus
esophagus
high resolution impedance manometry
transit
url http://www.doiserbia.nb.rs/img/doi/0370-8179/2013/0370-81791312807J.pdf
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