title: Coping with achalasia.
abstract: Achalasia is a primary esophageal motor disorder that is characterized by dysphagia, regurgitation, and chest pain. The diagnosis is suggested by narrowing with the classic "bird's beak" appearance of the distal esophagus. Esophageal manometry showing aperistalsis confirms the diagnosis. Pseudo-achalasia must be excluded with endoscopy. Pneumatic dilatation is the treatment of choice. Surgical myotomy is reserved for patients in whom repeated pneumatic dilatation fails.
authors.affiliation: Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, TX 78234-6200.
authors.forename: S C
authors.initials: SC
authors.lastname: Kadakia
mesh_terms: D002404:Catheterization / Q000379:methods; D004931:Esophageal Achalasia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006801:Humans