Portale G, Costantini M, Zaninotto G, Ruol A, Guirroli E, Rampado S, Ancona E
Istituto Oncologico Veneto (IOV-IRCCS), University of Padova, School of Medicine, Padova, Italy.
Dis Esophagus. 2007;20(2):168-72. doi: 10.1111/j.1442-2050.2007.00664.x.
Pseudoachalasia is a rare clinical entity which has clinical, radiographic and manometric features often indistinguishable from achalasia. A small primary adenocarcinoma arising at the gastroesophageal junction or a tumor of the distal esophagus are the most frequent causes. Rarely, processes other than esophagogastric cancers may lead to the development of pseudoachalasia. We present three cases of pseudoachalasia in which the primary cause of the disease was not an esophagogastric cancer. The causes were a pancreatic carcinoma, a breast cancer and an histiocytosis X. Aspects of these three patients' diagnostic and therapeutic course are discussed in detail.
假性贲门失弛缓症是一种罕见的临床病症，其临床、影像学和测压特征通常与贲门失弛缓症难以区分。发生于胃食管交界处的小原发性腺癌或食管远端肿瘤是最常见的病因。很少有其他非食管胃癌的病变会导致假性贲门失弛缓症的发生。我们报告了三例假性贲门失弛缓症病例，其疾病的主要病因并非食管胃癌。病因分别为胰腺癌、乳腺癌和组织细胞增多症X。详细讨论了这三位患者的诊断和治疗过程。
