Achalasia or malignancy? Confirmation of the diagnosis by oesophageal manometry.
Eur J Surg Oncol
; 13(3): 213-7, 1987 Jun.
Article
en En
| MEDLINE
| ID: mdl-3595884
ABSTRACT
Malignancy involving the gastro-oesophageal junction can present with features very similar to those of idiopathic achalasia. Failure to identify such cases may delay effective treatment of a curable tumour. We report four patients with malignant dysphagia who were initially referred for treatment of achalasia--the diagnosis based on clinical, radiographic and endoscopic findings in each case. In all four, oesophageal manometry suggested, correctly, that the diagnosis of achalasia was incorrect, allowing early surgical exploration. We suggest that the diagnosis of achalasia should be confirmed by manometric studies--particularly in elderly patients with a short history and weight loss as these features are frequently associated with malignancy.
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Bases de datos:
MEDLINE
Asunto principal:
Neoplasias Esofágicas
/
Acalasia del Esófago
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Eur J Surg Oncol
Asunto de la revista:
NEOPLASIAS
Año:
1987
Tipo del documento:
Article