Chuah SK, Kuo CM, Wu KL, Changchien CS, Hu TH, Wang CC, Chiu YC, Chou YP, Hsu PI, Chiu KW, Kuo CH, Chiou SS, Lee CM. Pseudoachalasia in a patient after truncal vagotomy surgery successfully treated by subsequent pneumatic dilations. World J Gastroenterol 2006; 12(31): 5087-5090 [PMID: 16937515 DOI: 10.3748/wjg.v12.i31.5087]
Corresponding Author of This Article
Chi-Sin Changchien, MD, Division of Hepatogastroenterology, Department of Internal Medicine, Chang Gung Memorial Hospital, Kaoshiung, 123, Ta-Pei Road, Niao-sung Hsiang, Kaohsiung Hsien, ROC 833, Taiwan, China. paulchuah@hotmail.com
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Received: April 28, 2006 Revised: June 10, 2006 Accepted: June 15, 2006 Published online: August 21, 2006
Abstract
Pseudoachalasia is a difficult condition for the clinician to differentiate from idiopathic achalasia even by manometry, radiological studies or endoscopy. Its etiology is usually associated with tumors. In most cases, the diagnosis is made after surgical explorations. The proposed pathogenesis of the disease is considered as mechanical obstruction of the distal esophagus or infiltration of the malignancy that affects the inhibitory neurons of the meyenteric plexus in the majority of cases. Surgery has been reported as a cause of pseudoachalasia. We report a 70-year-old man who suffered from deglutination disorder caused by pseudo-achalasia after truncal vagotomy. The patient was symptom-free after a nine-year follow-up and complete recovery of esophageal motility status from pseudoachalasia after pneumatic dilations. We also reviewed the literature of pseudoachalasia.
