Failure to Yield: Refractory Achalasia

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Presentation transcript:

Failure to Yield: Refractory Achalasia Barry Ladizinski, MD, Erik D. Rukhman, BS, Christopher Sankey, MD The American Journal of Medicine Volume 127, Issue 1, Pages 34-35 (January 2014) DOI: 10.1016/j.amjmed.2013.09.004 Copyright © 2014 Elsevier Inc. Terms and Conditions

Figure 1 Computed tomography disclosed a dilated distal esophagus (arrow), filled with oral contrast and minimal intraluminal debris. The American Journal of Medicine 2014 127, 34-35DOI: (10.1016/j.amjmed.2013.09.004) Copyright © 2014 Elsevier Inc. Terms and Conditions

Figure 2 A barium swallow study demonstrated distal esophageal dilatation and tapering (arrow), consistent with the classic “bird beak” appearance of achalasia. The American Journal of Medicine 2014 127, 34-35DOI: (10.1016/j.amjmed.2013.09.004) Copyright © 2014 Elsevier Inc. Terms and Conditions

Figure 3 This esophagram offers a magnified view of distal esophageal tapering (red arrow) and narrowing of the proximal gastric fundus (white arrows). The American Journal of Medicine 2014 127, 34-35DOI: (10.1016/j.amjmed.2013.09.004) Copyright © 2014 Elsevier Inc. Terms and Conditions