Achalasia other imaging findings: Difference between revisions
Jump to navigation
Jump to search
Ahmed Younes (talk | contribs) No edit summary |
Ahmed Younes (talk | contribs) |
||
| Line 5: | Line 5: | ||
==Overview== | ==Overview== | ||
[[Esophagogastroduodenoscopy]] is complementary to [[manometry]] in diagnosing achalasia. It is indicated primarily to rule out any mechanical obstruction or pseudoachalasia (neoplastic iniltration). | |||
==Esophagogastroduodenoscopy== | ==Esophagogastroduodenoscopy== | ||
* Most patients should get an EGD – primarily in order to rule out any mechanical obstruction and malignancy (esophageal and gastric). | * Most patients should get an EGD – primarily in order to rule out any mechanical obstruction and malignancy (esophageal and gastric). | ||
Revision as of 16:51, 6 November 2017
|
Achalasia Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Achalasia other imaging findings On the Web |
|
American Roentgen Ray Society Images of Achalasia other imaging findings |
|
Risk calculators and risk factors for Achalasia other imaging findings |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]
Overview
Esophagogastroduodenoscopy is complementary to manometry in diagnosing achalasia. It is indicated primarily to rule out any mechanical obstruction or pseudoachalasia (neoplastic iniltration).
Esophagogastroduodenoscopy
- Most patients should get an EGD – primarily in order to rule out any mechanical obstruction and malignancy (esophageal and gastric).
- Findings include a dilated esophagus with residual food fragments, normal mucosa and occasionally candidiasis(due to the prolonged stasis).
- Factors associated with an increased risk of malignancy include symptoms less than 6 months, presentation after 60 years old, excessive weight loss and difficult passage of the endoscope through the gastroesophageal junction.
- In cases diagnosed with GERD, endoscopic findings of dilated esophagus, retained food in esophagus can help diagnose achalasia correctly.
- In cases undergoing endoscopy for dysphagia, esophageal biopsies are recommended to rule out eosinophilic esophagitis. However if the endoscopic picture is very clear for achalasia, biopsy is not recommended.[1]
{{#ev:youtube|ydLcskQzEjM}}
References
- ↑ Vaezi MF, Pandolfino JE, Vela MF (2013). "ACG clinical guideline: diagnosis and management of achalasia". Am J Gastroenterol. 108 (8): 1238–49, quiz 1250. doi:10.1038/ajg.2013.196. PMID 23877351.