ACHALASIA CARDIA

Main symptom here is dysphagia due to failure of relaxation of the lower oesophageal sphincter. This results in dysphagia with differing degrees of food tasis and regurgitation of feeds.

Clinical Manifestations

  • There is long-standing dysphagia, more for solids than liquids, and commonly in young patients.
  • Vomiting of feeds also occurs, sometimes of foods taken some days back.
  • Weight loss if present is usually only slight.

Investigations

  • Barium swallow, endoscopy, and biopsy
  • Manometry

Management

  • Balloon dilatation
  • Heller’s myotomy