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Achalasia Cardia Resulting in Bronchial Obstruction - A Case Series and Literature Review

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Then Eric Omar, Sunkara Tagore, John Febin, Dewnani Kishore Kumar, Culliford Andrea, Gaduputi Vinaya,
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 ( Then Eric Omar ) 
Mercy One Des Moines Medical Center Division of Gastroenterology and Hepatology

 ( Sunkara Tagore ) 
Mercy One Des Moines Medical Center Division of Gastroenterology and Hepatology
 ( John Febin ) 
Mercy One Des Moines Medical Center Division of Gastroenterology and Hepatology
 ( Dewnani Kishore Kumar ) 
Bronx Lebanon Hospital Center Division of Gastroenterology and Hepatology
 ( Culliford Andrea ) 
Mercy One Des Moines Medical Center Division of Gastroenterology and Hepatology
 ( Gaduputi Vinaya ) 
Mercy One Des Moines Medical Center Division of Gastroenterology and Hepatology

Abstract


Achalasia is a motility disorder of the esophagus that is characterized by loss of ganglionic neurons within the myenteric plexus of the lower esophageal sphincter (LES) resulting in failure of the LES to relax. Clinically this disorder presents with simultaneous dysphagia to solids and liquids, and if left untreated, leads to esophageal dilation, which can give rise to many adverse consequences. Extrinsic compression of respiratory structures is one such consequence, and rarely, cases of tracheal compression secondary to achalasia have been reported. However, cases of extrinsic bronchial compression are yet rarer. Here, we present a case series comprised of two patients with achalasia who presented with extrinsic bronchial compression by a dilated esophagus secondary to achalasia.

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Esophageal achalasia; Dysphagia; Airway obstruction; Heller myotomy; Esophageal motility disorders

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