Then Eric Omar, Sunkara Tagore, John Febin, Dewnani Kishore Kumar, Culliford Andrea, Gaduputi Vinaya
Division of Gastroenterology and Hepatology, SBH Health System, Bronx, NY, USA.
Division of Gastroenterology and Hepatology, Mercy One Des Moines Medical Center, Des Moines, IA, USA.
Korean J Gastroenterol. 2019 Feb 25;73(2):105-108. doi: 10.4166/kjg.2019.73.2.105.
Achalasia is a motility disorder of the esophagus that is characterized by loss of ganglionic neurons within the myenteric plexus of the lower esophageal sphincter (LES) resulting in failure of the LES to relax. Clinically this disorder presents with simultaneous dysphagia to solids and liquids, and if left untreated, leads to esophageal dilation, which can give rise to many adverse consequences. Extrinsic compression of respiratory structures is one such consequence, and rarely, cases of tracheal compression secondary to achalasia have been reported. However, cases of extrinsic bronchial compression are yet rarer. Here, we present a case series comprised of two patients with achalasia who presented with extrinsic bronchial compression by a dilated esophagus secondary to achalasia.
贲门失弛缓症是一种食管动力障碍性疾病，其特征是食管下括约肌（LES）肌间神经丛内神经节神经元缺失，导致LES无法松弛。临床上，这种疾病表现为同时出现固体和液体吞咽困难，若不治疗，会导致食管扩张，进而引发许多不良后果。呼吸结构的外部压迫就是其中一种后果，且很少有贲门失弛缓症继发气管压迫的病例报道。然而，外部支气管压迫的病例更为罕见。在此，我们报告一个病例系列，包括两名贲门失弛缓症患者，他们因贲门失弛缓症继发食管扩张而出现外部支气管压迫。
