Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz

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SHR Neuro Krebs Kardio Lipid

Fabian, E; Eherer, AJ; Lackner, C; Urban, C; Smolle-Juettner, FM; Krejs, GJ.
Pseudoachalasia as First Manifestation of a Malignancy.
Dig Dis. 2019; 273:1-8 [OPEN ACCESS]
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Autor/innen der Med Uni Graz:
Eherer Andreas
Fabian Elisabeth
Krejs Günter Josef
Lackner Karoline
Smolle-Juettner Freyja-Maria
Urban Ernst-Christian
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Abstract:
Pseudoachalasia is a condition in which symptoms, radiologic, endoscopic, and manometric findings mimick idiopathic achalasia. About 4% of patients with a typical constellation for idiopathic achalasia will turn out to have pseudoachalasia, posing a major diagnostic challenge. A large spectrum of underlying causes of pseudoachalasia has been described. However, in about 70% of affected patients, this condition is caused by a malignancy (mostly adenocarcinoma of the esophagogastric junction or cardia). We describe a 16-year-old high school student referred for management of achalasia who turned out to have pseudoachalasia due to adenocarcinoma of the cardia. He was cured with preoperative chemotherapy followed by radical surgery. Therapy of pseudoachalasia secondary to neoplasia is directed against the tumor or may be palliative to keep the lumen open. Other causes of pseudoachalasia include esophageal motility disturbances as a paraneoplastic phenomenon (e.g., with small cell lung cancer), post fundoplication or post bariatric surgery, in association with a thoracic aortic aneurysm, or with sarcoidosis or amyloidosis. Therapy is directed accordingly to eliminate or correct the underlying cause. © 2019 S. Karger AG, Basel.

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