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Achalasia - residual food (6 of 11)

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Performing balloon dilatation under endoscopic observation as an outpatient procedure is simple, safe and efficacious for treating patients with achalasia and referral of surgical myotomy should be...

Achalasia Residual Food (5 of 11)

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Balloon dilatation mechanically stretches the contracted LES. A Rigiflex balloon with a 30 mm diameter was advanced over the guide wire with the middle of the balloon traversing the GE junction.

Achalasia - residual food (4 of 11)

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The symptoms have a slow onset and progress gradually; many people delay seeking medical attention until symptoms are advanced. The major symptom is difficulty swallowing (liquids or solids) Some people...

Achalasia Residual Food (3 of 11)

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Achalasia occurs with an incidence of approximately 1:100,000 with an equal gender distribution. It occurs at all ages with an increase in incidence observed after the seventh decade. Dysphagia is...

Achalasia - residual food (2 of 11)

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A "tight" gastroesophageal junction retroflexed image Sir Thomas Willis is credited with the first report of a patient with achalasia in 1674. Von Mikulicz in 1882 and Einhorn in 1888 hypothesized...

Achalasia Residual Food (1 of 11)

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This 50 year-old lady presented with progressive dysphagia to solids and liquids.

Esophageal Achalasia - Impaction of foreign bodies...

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Status after dilatation with balloon Achalasia is the best understood example of an esophageal motility disorder and characterized by esophageal aperistalsis and impaired relaxation of the lower esophageal...

Esophageal Achalasia - Impaction of foreign bodies...

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Balloon dilatation (pneumatic dilatation) This case the balloon was filled with water instead of air Pneumatic dilatation is considered to be the first line therapy for achalasia, but long-term outcome...

Esophageal Achalasia - Impaction of foreign bodies...

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The GE junction was tight suggestive of motor dysphagia

Esophageal Achalasia - Impaction of foreign bodies...

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Meat Bolus With diathermy loop this piece of meat was extracted

Esophageal Achalasia - Impaction of foreign bodies...

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This 65 year-old female presented dysphagia, endoscopy finding: piece of meet impacted in the middle third of the esophagus and spasm of the lower third consistently of esophageal achalasia. this piece...

Pseudo Achalasia (4 of 4)

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This image, which did not appear during the previous three months endoscopy. It is a typical neoplastic infiltration. There are, depressed mucosal surface, abrupt termination of folds, fold tapering...

Pseudo Achalasia (3 of 4)

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The image and video display some typical parameters of criteria of a malign ulcer, gastric cardias in retrofled image.

Pseudo Achalasia (2 of 4)

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The patient did not returned until the date of a new endoscopy; he had gained 30 pounds but the cardias needed a new dilatation.

Esophageal Achalasia (7 of 7)

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Achalasia. Retroflexed view of the fundus shows a cardias so tight, the retroflex maneuver can not be performed into the esophagus.

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