Publication: Achalasia Cardia: A Case Series
Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
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.
Description
Nibedita Chapagain
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Nishob Adhikari
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Bidur Prasad Acharya
Department of General Surgery, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Yugal Limbu
Department of General Surgery, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Roshan Ghimire
Department of General Surgery, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal