Pseudoachalasia in a patient after truncal vagotomy surgery successfully treated by subsequent pneumatic dilations.
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.
Chuah
Seng-Kee
SK
Division of Hepatogastroenterology, Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung, ROC 833, Taiwan, China.
Kuo
Chung-Mou
CM
Wu
Keng-Liang
KL
Changchien
Chi-Sin
CS
Hu
Tsung-Hui
TH
Wang
Chi-Chih
CC
Chiu
Yi-Chun
YC
Chou
Yeh-Pin
YP
Hsu
Pin-I
PI
Chiu
King-Wah
KW
Kuo
Chung-Huang
CH
Chiou
Shue-Shian
SS
Lee
Chuan-Mo
CM
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*