Pseudoachalasia: A peculiar case report and review of the literature

doi:10.4253/wjge.v5.i9.450

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Sep 16, 2013 (publication date) through May 1, 2024

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

World J Gastrointest Endosc. Sep 16, 2013; 5(9): 450-454
Published online Sep 16, 2013. doi: 10.4253/wjge.v5.i9.450

Pseudoachalasia: A peculiar case report and review of the literature

Salvatore Maria Antonio Campo, Angelo Zullo, Chiara Maria Scandavini, Barbara Frezza, Paola Cerro, Genoveffa Balducci

Salvatore Maria Antonio Campo, Angelo Zullo, Gastroenterology and Digestive Endoscopy Unit, Nuovo Regina Margherita Hospital, 00153 Rome, Italy

Chiara Maria Scandavini, Barbara Frezza, Genoveffa Balducci, Department of Surgery, S. Andrea University, 00189 Rome, Italy

Paola Cerro, Radiology Unit, Nuovo Regina Margherita Hospital, 00153 Rome, Italy

Author contributions: Campo SMA and Zullo A designed the report; Scandavini CM and Frezza B were the attending doctors for the patient; Balducci G organized the report and followed up the patient; Cerro P performed image diagnosis; Campo SMA wrote the paper; all authors critically approved the final version to be published.

Correspondence to: Salvatore Maria Antonio Campo, MD, Gastroenterology and Digestive Endoscopy Unit, Nuovo Regina Margherita Hospital, Via Morosini, 30, 00153 Rome, Italy. salvatorecampo@yahoo.com

Telephone: +39-6-58446608 Fax: +39-6-58446533

Received: May 23, 2013
Revised: August 1, 2013
Accepted: August 8, 2013
Published online: September 16, 2013

Core Tip

Core tip: Typical esophageal dysmotility can be observed in pseudoachalasia, a secondary form of achalasia mostly due to cancer or even benign tumors, postoperative complications or paraneoplastic syndromes. Dysphagia is frequently observed in subjects with pseudoachalasia. We describe a peculiar case where dysphagia could be due to a vascular compression of the esophagus rather than involvement of the esophagus at the gastro-esophageal junction from gastric neoplasia. The less invasive therapeutic option should be proposed in an old patient. The reviews of our cases of pseudoachalasia and the literature are included.