Tracheobronchitis - Bronchoscopic Image

In this image and the video clip show a bronchoscopy, performed with a regular GI video endoscope in which is observed, material that came from the esophagus that has a achalasia. This 78 year-old female 20 years previously underwent a surgery due to Esophageal Achalasia (Esophagomyotomy of the lower esophageal sphincter (LES) ) Heller esophagomyotomy, since one month she has vomiting and weight loss. The upper endoscopy shows a typical picture of esophageal achalasia which was dilated with the same balloon that has been showed in this chapter. Esophageal dysfunction progresses through accumulation of ingested material in the superior portion of the esophagus, facilitating the aspiration of this material. This condition is more common in individuals in whom the cough reflex has been lost or suppressed due to neuromuscular disturbances, or due to the use of sedatives or other drugs. In such cases, aspiration pneumonia becomes established. Pub Med: Surgery for achalasia: long-term results in operated achalasic patients.