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16-year-old female presented with a 2-year history of progressive dysphagia to liquids, associated with nocturnal regurgitation. She denied food allergies, choking, vomiting, weight loss, or heartburn. Past medical history was unremarkable. Clinical examination and laboratory tests were normal. Upper endoscopy and endoscopic biopsies were negative for stenosis, esophagitis, eosinophilic esophagitis, or Trypanozoma cruzi infection. Barium esophagogram showed the classic “bird beak” sign (tapering of the distal esophagus; panel A, red arrow) and proximal dilatation; and high-resolution esophageal manometry (HREM) showed panesophageal pressurizations in every swallow, as shown in panel B. A diagnosis of type IIesophageal achalasia (EA) was made based on the Chicago classification v3.0.¹

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2018-11-16   |   634 visitas   |   Evalua este artículo 0 valoraciones

Vol. 2 Núm.3. Septiembre 2018 Pags. 123-124 Rev Med Clin 2018; 2(3)