Resectional Surgery in Achalasia Cardia

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 ...

Achalasia Cardia (Cardiospasm)

Achalasia cardia in an infant.

Esophageal achalasia is a neuromuscular disorder of unknown etiology characterized by abnormal motility and failure of relaxation of lower esophageal sphincter, with its usual presentation in fourth and fifth decades of life. It is an unusual lesion in childhood and extremely rare under the age of one year. We report a 7-month-old child with esophageal achalasia treated with modified Heller's e...

Achalasia of the Cardia.

Current results of surgery for achalasia of the cardia.

Several treatment options are available in the management of achalasia of the cardia. Of a recent series of 14 children, 12 were treated by a modified Heller's myotomy combined with a floppy Nissen fundoplication. Symptoms were dramatically improved in nine during a mean follow up period of 3.9 years. Recurrent oesophageal pain was the most resistant symptom and continued to be moderately sever...