Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Fabian, E; Eherer, AJ; Lackner, C; Urban, C; Smolle-Juettner, FM; Krejs, GJ.
Pseudoachalasia as First Manifestation of a Malignancy.
Dig Dis. 2019; 37(5):347-354
Doi: 10.1159/000495758
(- Case Report)
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- Führende Autor*innen der Med Uni Graz
- Fabian Elisabeth
- Krejs Günter Josef
- Co-Autor*innen der Med Uni Graz
- Eherer Andreas
- Lackner Karoline
- Smolle-Juettner Freyja-Maria
- Urban Ernst-Christian
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- Abstract:
- Pseudoachalasia is a condition in which symptoms, radiologic, endoscopic, and manometric findings mimick idiopathic achalasia. About 4% of patients with a typical constellation for idiopathic achalasia will turn out to have pseudoachalasia, posing a major diagnostic challenge. A large spectrum of underlying causes of pseudoachalasia has been described. However, in about 70% of affected patients, this condition is caused by a malignancy (mostly adenocarcinoma of the esophagogastric junction or cardia). We describe a 16-year-old high school student referred for management of achalasia who turned out to have pseudoachalasia due to adenocarcinoma of the cardia. He was cured with preoperative chemotherapy followed by radical surgery. Therapy of pseudoachalasia secondary to neoplasia is directed against the tumor or may be palliative to keep the lumen open. Other causes of pseudoachalasia include esophageal motility disturbances as a paraneoplastic phenomenon (e.g., with small cell lung cancer), post fundoplication or post bariatric surgery, in association with a thoracic aortic aneurysm, or with sarcoidosis or amyloidosis. Therapy is directed accordingly to eliminate or correct the underlying cause.
- Find related publications in this database (using NLM MeSH Indexing)
- Adenocarcinoma - diagnostic imaging, pathology
- Adolescent - administration & dosage
- Barium - administration & dosage
- Esophageal Achalasia - pathology
- Esophageal Neoplasms - diagnostic imaging, pathology
- Esophagogastric Junction - diagnostic imaging, pathology
- Esophagoscopy - administration & dosage
- Esophagus - diagnostic imaging
- Humans - administration & dosage
- Male - administration & dosage
- Manometry - administration & dosage
- Peristalsis - administration & dosage
- Find related publications in this database (Keywords)
- Pseudoachalasia
- Achalasia
- Cardia adenocarcinoma
- Neoadjuvant chemotherapy
- Esophageal resection
- Esophagojejunostomy