Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
Department of General Surgery, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2024 Jun 30;62(275):474-477. doi: 10.31729/jnma.8649.
Achalasia cardia is a rare disorder that impacts the lower esophageal sphincter and esophageal body. Due to its wide range of symptoms, it can be difficult to diagnose. Here we report three cases of Achalasia Cardia during a period of 9 months. The first patient, an 18-year-old male, presented with dysphagia and was evaluated with barium swallow and high-resolution manometry (HRM) revealing Achalasia Cardia. In the second case, a 37-year-old female had a prolonged diagnostic journey due to multiple comorbidities before a barium swallow finally revealed achalasia cardia. The third patient, a 47-year-old female was promptly diagnosed with barium swallow. All the cases were successfully treated with laparoscopic Heller's myotomy with anterior Dor's fundoplication. This case series highlights the potential for delayed diagnosis and the importance of early recognition, tailored diagnostic approaches, and the efficacy of surgical management.
贲门失弛缓症是一种罕见的疾病,影响下食管括约肌和食管体。由于其广泛的症状,诊断可能具有挑战性。在这里,我们报告了在 9 个月期间的 3 例贲门失弛缓症病例。第一个患者是一名 18 岁男性,表现为吞咽困难,并通过钡餐和高分辨率测压(HRM)评估,结果显示贲门失弛缓症。在第二个病例中,一名 37 岁女性由于多种合并症,导致诊断过程延长,最终通过钡餐检查才发现贲门失弛缓症。第三个患者是一名 47 岁女性,通过钡餐检查被迅速诊断出来。所有病例均成功接受腹腔镜 Heller 肌切开术加前 Dor 胃底折叠术治疗。本病例系列强调了延迟诊断的可能性,以及早期识别、针对性诊断方法和手术治疗的疗效的重要性。