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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.

Esophageal Achalasia (6 of 7)

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Esophageal Achalasia. Sir Thomas Willis first described achalasia in 1674. Willis successfully treated a patient by dilating the LES with a cork-tipped whalebone. Not until 1929 did Hurt and Rake...

Esophageal Achalasia (5 of 7)

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Esophageal Achalasia. Maneuvering with the biopsy forceps troughs the cardias and taken the biopsy to rule out malignancy.

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