Becker D J, Castell D O
Department of Medicine, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina.
Gastroenterology. 1989 Nov;97(5):1323-6. doi: 10.1016/0016-5085(89)91707-1.
Achalasia presenting as an acute airway obstruction is a rarely reported phenomenon. The pathophysiology of this dramatic complication of achalasia remains an enigma. Our patient with achalasia presented with an acute airway compromise necessitating emergent endotracheal intubation. We review the available literature on this interesting yet rare complication of achalasia. We also add some information to help elucidate the possible pathophysiologic mechanism of this emergency, proposing that specific upper esophageal sphincter manometry may indicate abnormality of the "belch reflex."
贲门失弛缓症表现为急性气道梗阻是一种鲜有报道的现象。贲门失弛缓症这种严重并发症的病理生理学仍然是个谜。我们的贲门失弛缓症患者出现急性气道功能障碍，需要紧急气管插管。我们回顾了关于贲门失弛缓症这种有趣但罕见并发症的现有文献。我们还补充了一些信息以帮助阐明这一急症可能的病理生理机制，提出特定的食管上括约肌测压可能提示“嗳气反射”异常。
