2015, Number 615
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Rev Med Cos Cen 2015; 72 (615)
Acalasia: Manifestaciones clínicas y diagnóstico
Aragón VJI
Language: Spanish
References: 10
Page: 257-259
PDF size: 58.52 Kb.
ABSTRACT
Achalasia is a chronic and
progressive esophageal motor
disorder manometrically
characterized by loss of
peristalsis of the distal
esophagus, failure of the
lower esophageal sphincter
to completely relax with
deglutition, and elevated
baseline intraluminal
esophageal pressure. This
disease should be suspected
in patients with dysphagia to
solids and liquids and in those
with regurgitation unresponsive
to a trial of proton pump
inhibitor (PPI) therapy for four
weeks. Manometry is required
to establish the diagnosis of
achalasia. Without treatment,
patients with achalasia develop
progressive dilation of the
esophagus.
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