Anaesthetic challenges of achalasia cardia
نویسندگان
چکیده
Poor peristalsis and an inability to relax the lower esophageal sphincter are symptoms of achalasia cardia, a chronic neurodegenerative motility condition oesophagus. (LES). The primary problem with remedial operations for cardia is pulmonary aspiration residual contents during induction general anaesthesia. timing nil per oral or endoscopic clearance prior anaesthesia not governed by any universally accepted standards. We present case 43-year-old man history hypertension, diabetes, myocardial infarction who underwent surgery repair his sigmoid patient was optimised before administered in accordance current standard care. patient's stay uneventful, there no sign operation. Aspiration avoided carefully optimizing beforehand.
منابع مشابه
Pathogenesis of achalasia cardia.
Achalasia cardia is one of the common causes of motor dysphagia. Though the disease was first described more than 300 years ago, exact pathogenesis of this condition still remains enigmatic. Pathophysiologically, achalasia cardia is caused by loss of inhibitory ganglion in the myenteric plexus of the esophagus. In the initial stage, degeneration of inhibitory nerves in the esophagus results in ...
متن کامل[Achalasia of the cardia].
Radionuclide oesophageal transit studies and manometry have been carried out in 15 patients with achalasia of the cardia, before treatment, after a course of nifedipine and after pneumatic bag dilatation. Transit studies were also done in 10 patients after cardiomyotomy and in 10 normal subjects. Images were recorded with the subjects seated in front of a gamma camera while swallowing a 10 ml b...
متن کاملA Case of Achalasia Cardia.
1Assistant Professor, Department of Internal Medicine, 2Assistant Professor, Department of Radiology, Sri Ram Murti Institute for Medical Sciences, Bhojipura, Bareilly, Uttar Pradesh Received: 02.01.2013; Revised: 06.01.2014; Accepted: 10.01.2014 3 years old farmer, admitted to our hospital with history of difficulty in swallowing for the last 2 years which was progressive over the years along ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: International journal of medical anesthesiology
سال: 2023
ISSN: ['2664-3766', '2664-3774']
DOI: https://doi.org/10.33545/26643766.2023.v6.i1b.384