title: Pseudoachalasia of the cardia secondary to nongastrointestinal neoplasia.
abstract: A minor proportion of patients with achalasia eventually have a neoplasm and, as a consequence, pseudoachalasia is diagnosed. A neoplasm may either involve gastrointestinal junction or present a paraneoplastic effect. Over the global diagnoses of achalasia issued in 5 years of experience in our motility unit, we have found 13% (3/23 cases) of pseudoachalasia (2-4% in previous series, probably due to the fact that the population assisted was mainly composed of elderly patients). The origin of the neoplasm was bladder, prostate and metastases from epidermoid carcinoma of vocal chord. Treatment of primary neoplasm, besides classical approach (with dilatation of botulinum injection) may help in the resolution of this clinical disorder.
authors: Digestive System Service, Pontevedra Hospital Complex, Pontevedra 36001, Spain. ullarojl@terra.es
authors: Jose Luis
authors: JL
authors: Ulla
authors: Estela
authors: E
authors: Fernandez-Salgado
authors: Victoria
authors: V
authors: Alvarez
authors: Alberto
authors: A
authors: Ibañez
authors: Santiago
authors: S
authors: Soto
authors: Daniel
authors: D
authors: Carpio
authors: Javier
authors: J
authors: Vazquez-Sanluis
authors: Luis
authors: L
authors: Ledo
authors: Enrique
authors: E
authors: Vazquez-Astray
mesh_terms: D000230:Adenocarcinoma / Q000150:complications*; D000368:Aged; D000369:Aged, 80 and over; D019274:Botulinum Toxins, Type A / Q000627:therapeutic use*; D003110:Colonic Neoplasms / Q000150:complications*; D003680:Deglutition Disorders / Q000175:diagnosis* / Q000209:etiology*; D003937:Diagnosis, Differential; D004931:Esophageal Achalasia / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D008297:Male; D009465:Neuromuscular Agents / Q000627:therapeutic use*; D010257:Paraneoplastic Syndromes; D014571:Urologic Neoplasms / Q000150:complications*
chemical_list: D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A
references: Virchows Arch A Pathol Anat Histopathol. 1993;423(6):507-11
references: 8291223
references: Am J Gastroenterol. 2001 Feb;96(2):373-9
references: 11232678
references: J Gastrointest Surg. 2000 Nov-Dec;4(6):626-31
references: 11307099
references: Histopathology. 1999 Nov;35(5):445-53
references: 10583560
references: J Gastroenterol Hepatol. 1993 Nov-Dec;8(6):604-6
references: 8280848
references: Br Med J. 1947 Sep 13;2(4523):405-7
references: 20263258
references: Am J Gastroenterol. 1994 Nov;89(11):2014-8
references: 7942729
references: Gastroenterology. 1988 Nov;95(5):1279-86
references: 2844621
references: Am J Gastroenterol. 1995 Aug;90(8):1319-21
references: 7639237
references: Gastroenterology. 1996 Sep;111(3):648-54
references: 8780569
references: Am J Med. 1987 Mar;82(3):439-46
references: 3548347
references: Dig Dis Sci. 1980 Apr;25(4):311-3
references: 7389532
references: Ann Intern Med. 1978 Sep;89(3):315-8
references: 686541
references: Am J Gastroenterol. 1997 Apr;92 (4):624-8
references: 9128311
references: J Gastrointest Surg. 1999 Sep-Oct;3(5):456-61
references: 10482700
references: Am J Surg Pathol. 2000 Aug;24(8):1153-8
references: 10935657
references: Gastroenterology. 1991 Jan;100(1):137-42
references: 1845756
references: Endoscopy. 1990 Jan;22(1):1-4
references: 2407524
references: Ann Med Interne (Paris). 1993;144(4):303-4
references: 8368729
references: Gastroenterol Hepatol. 2000 Jan;23(1):14-5
references: 10726378
references: Dig Dis Sci. 1983 Mar;28(3):278-84
references: 6825547
references: Dysphagia. 1994 Spring;9(2):292-6
references: 8005010
references: J R Soc Med. 1988 Jul;81(7):399-402
references: 3045313
references: Am J Surg Pathol. 2002 Jun;26(6):784-8
references: 12023584
references: Scand J Gastroenterol. 2005 Apr;40(4):378-85
references: 16028431
references: Am J Gastroenterol. 1990 Oct;85(10):1327-30
references: 2220723
references: Neurology. 1998 Mar;50(3):652-7
references: 9521251
references: Am J Gastroenterol. 1998 Jan;93(1):103-5
references: 9448185