title: Pseudoachalasia in a patient after truncal vagotomy surgery successfully treated by subsequent pneumatic dilations.
abstract: Pseudoachalasia is a difficult condition for the clinician to differentiate from idiopathic achalasia even by manometry, radiological studies or endoscopy. Its etiology is usually associated with tumors. In most cases, the diagnosis is made after surgical explorations. The proposed pathogenesis of the disease is considered as mechanical obstruction of the distal esophagus or infiltration of the malignancy that affects the inhibitory neurons of the meyenteric plexus in the majority of cases. Surgery has been reported as a cause of pseudoachalasia. We report a 70-year-old man who suffered from deglutination disorder caused by pseudo-achalasia after truncal vagotomy. The patient was symptom-free after a nine-year follow-up and complete recovery of esophageal motility status from pseudoachalasia after pneumatic dilations. We also reviewed the literature of pseudoachalasia.
authors.affiliation: Division of Hepatogastroenterology, Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung, ROC 833, Taiwan, China.
authors.forename: Seng-Kee
authors.initials: SK
authors.lastname: Chuah
authors.forename: Chung-Mou
authors.initials: CM
authors.lastname: Kuo
authors.forename: Keng-Liang
authors.initials: KL
authors.lastname: Wu
authors.forename: Chi-Sin
authors.initials: CS
authors.lastname: Changchien
authors.forename: Tsung-Hui
authors.initials: TH
authors.lastname: Hu
authors.forename: Chi-Chih
authors.initials: CC
authors.lastname: Wang
authors.forename: Yi-Chun
authors.initials: YC
authors.lastname: Chiu
authors.forename: Yeh-Pin
authors.initials: YP
authors.lastname: Chou
authors.forename: Pin-I
authors.initials: PI
authors.lastname: Hsu
authors.forename: King-Wah
authors.initials: KW
authors.lastname: Chiu
authors.forename: Chung-Huang
authors.initials: CH
authors.lastname: Kuo
authors.forename: Shue-Shian
authors.initials: SS
authors.lastname: Chiou
authors.forename: Chuan-Mo
authors.initials: CM
authors.lastname: Lee
mesh_terms: D000368:Aged; D004724:Endoscopy / Q000379:methods; D004931:Esophageal Achalasia / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008297:Male; D008365:Manometry / Q000379:methods; D010528:Peristalsis; D016896:Treatment Outcome; D014628:Vagotomy / Q000379:methods*