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Achalasia

Achalasia

Achalasia Achalasia is characterized by oesophageal aperistalsis and impaired relaxation of the lower oesophageal sphincter.   Clinical features Achalasia incidence is 1 : 100 000 equally in males and females. It occurs at all ages but is rare in childhood. Patients usually have a long history of intermittent dysphagia, characteristically for both liquids and solids from the onset. Regurgitation […]

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Dysphagia Differential Diagnosis

Newsletter Dysphagia Carcinoma of the Oesophagus Progressive dysphagia initially for solids, then for liquids Associated regurgitation of undigested food Loss of weight  in spite of good appetite Initially LOW then develop LOA may indicate to lower oesophageal CA spreading to Stomach Features of local spread -haematemesis andmelaena, hoarseness of voice(CA of upper oesphagus.), interscapular pain […]

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