Achalasia Cardia: A Case Series.

IF 0.5 4区 医学 Q3 Medicine Journal of Nepal Medical Association Pub Date : 2024-06-30 DOI:10.31729/jnma.8649
Nibedita Chapagain, Nishob Adhikari, Bidur Prasad Acharya, Yugal Limbu, Roshan Ghimire
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Abstract

Abstract: Achalasia cardia is a rare disorder that impacts the lower esophageal sphincter and esophageal body. Due to its wide range of symptoms, it can be difficult to diagnose. Here we report three cases of Achalasia Cardia during a period of 9 months. The first patient, an 18-year-old male, presented with dysphagia and was evaluated with barium swallow and high-resolution manometry (HRM) revealing Achalasia Cardia. In the second case, a 37-year-old female had a prolonged diagnostic journey due to multiple comorbidities before a barium swallow finally revealed achalasia cardia. The third patient, a 47-year-old female was promptly diagnosed with barium swallow. All the cases were successfully treated with laparoscopic Heller's myotomy with anterior Dor's fundoplication. This case series highlights the potential for delayed diagnosis and the importance of early recognition, tailored diagnostic approaches, and the efficacy of surgical management.

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贲门失弛缓症:病例系列。
摘要:贲门失弛缓症是一种影响下食道括约肌和食道体的罕见疾病。由于其症状广泛,因此很难诊断。在此,我们报告了 9 个月内的三例贲门失弛缓症病例。第一例患者是一名 18 岁的男性,出现吞咽困难,经过吞钡和高分辨率测压(HRM)检查发现患有贲门失弛缓症。第二例患者是一名 37 岁的女性,由于患有多种并发症,诊断过程漫长,最终在吞钡检查中发现了贲门失弛缓症。第三例患者是一名 47 岁的女性,在吞钡检查中被迅速确诊。所有病例均通过腹腔镜海勒氏肌切开术和前路多氏胃底折叠术获得成功治疗。本系列病例强调了延误诊断的可能性,以及早期识别、有针对性的诊断方法和手术治疗效果的重要性。
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来源期刊
Journal of Nepal Medical Association
Journal of Nepal Medical Association PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-MEDICINE, GENERAL & INTERNAL
CiteScore
1.00
自引率
0.00%
发文量
233
审稿时长
>12 weeks
期刊介绍: Journal of Nepal Medical Association is an internationally peer-reviewed, MedLine/PubMed indexed, a monthly general medical journal published by Nepal Medical Association. JNMA is the first and oldest medical journal from Nepal since 1963 AD.
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