title: The case of self-resolving type III achalasia after bilateral lung transplant.
abstract: BACKGROUND
  Post-surgical achalasia has been previously described in large case series but there are limited data on the natural progression of the disease process. In general, achalasia is considered an "incurable" disease as per published guidelines. We present here, the first report of a patient with post-surgical achalasia which resolved spontaneously.
  
  
  METHODS
  This is a retrospective chart review.
  
  
  RESULTS
  A 60-year-old male presented for dysphagia 3 months status post-bilateral lung transplant and was diagnosed with achalasia following positive manometry. Absent any treatment, his repeat manometry showed complete, spontaneous resolution of the achalasia 2 years following lung transplant.
  
  
  CONCLUSIONS
  To our knowledge, this is the first such case of spontaneously resolving achalasia following bilateral lung transplant. This case warrants further study in to the natural progression of post-surgical achalasia.
authors.affiliation: St. George's University School of Medicine, Grenada, West Indies.
authors.forename: P
authors.identifier: http://orcid.org/0000-0003-2380-0193
authors.initials: P
authors.lastname: Aggarwal
authors.affiliation: Department of Medicine, Kingsbrook Jewish Medical Center, Brooklyn, NY, USA.
authors.forename: V
authors.initials: V
authors.lastname: Bansal
authors.affiliation: Department of Gastroenterology, Cleveland Clinic Foundation, Cleveland, OH, USA.
authors.forename: N
authors.initials: N
authors.lastname: Aggarwal
authors.affiliation: Department of Gastroenterology, Cleveland Clinic Foundation, Cleveland, OH, USA.
authors.forename: Z
authors.initials: Z
authors.lastname: Arora
authors.affiliation: Department of Thoracic Surgery, Cleveland Clinic, Cleveland, Ohio.
authors.forename: S
authors.initials: S
authors.lastname: Murthy
authors.affiliation: Department of Gastroenterology, Cleveland Clinic Foundation, Cleveland, OH, USA.
authors.forename: S
authors.initials: S
authors.lastname: Gabbard
mesh_terms: D004931:Esophageal Achalasia / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D005500:Follow-Up Studies; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects* / Q000639:trends; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D012075:Remission, Spontaneous; D012189:Retrospective Studies
keywords: achalasia; dysphagia; lung transplant; post-surgical; resolution