Achalasia secondary to nongastrointestinal malignancies.
Publication/Presentation Date
1-1-1985
Abstract
Secondary or "pseudo" achalasia of the esophagus can mimic idiopathic achalasia radiographically and can be difficult to diagnose. Typically, it is due to invasive carcinoma involving the gastroesophageal junction, usually gastric adenocarcinoma. Occasionally, an achalasialike condition can be produced by tumors not involving the gastroesophageal junction. We report 2 cases, 1 of lung carcinoma and the other of hepatoma, in which the patients had radiographic and endoscopic changes compatible with achalasia. However, the onset of symptoms was abrupt and the patients were elderly; these are unusual features for primary achalasia. There have been several other reports of nongastrointestinal neoplasms producing a clinical and radiographic picture similar to achalasia. Although there are several theories as to the cause, our cases would support the concept that direct tumor involvement of the gastroesophageal junction is not necessary to produce significant esophageal dysmotility.
Volume
10
Issue
3
First Page
273
Last Page
276
ISSN
0364-2356
Published In/Presented At
Feczko, P. J., & Halpert, R. D. (1985). Achalasia secondary to nongastrointestinal malignancies. Gastrointestinal radiology, 10(3), 273–276. https://doi.org/10.1007/BF01893111
Disciplines
Diagnosis | Medicine and Health Sciences | Other Analytical, Diagnostic and Therapeutic Techniques and Equipment | Radiology
PubMedID
2993089
Department(s)
Department of Radiology and Diagnostic Medical Imaging
Document Type
Article