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Achalasia Diagnosed Due to Dysphagia, Report of a Case Yorinari Ochiai 1 , Yugo Suzuki 1 , Daisuke Kikuchi 2 , Shu Hoteya 1 1Department of Gastroenterology, Toranomon Hospital, Tokyo 2Department of Gastroenterology, Toranomon Hospital Kajigaya, Kawasaki, Japan Keyword: 嚥下困難 , 食道アカラシア , 食道内圧検査 , 内視鏡 , 食道造影検査 pp.1287-1291
Published Date 2024/9/25
DOI https://doi.org/10.11477/mf.1403203720
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 A woman in her 20s who had been suffering from dysphagia for the past year had undergone an endoscopic examination, at her previous hospital, during which an esophageal dilatation was detected. Therefore, she was referred to our hospital for better management. An endoscopy performed at our hospital not only revealed a mild esophageal rosette sign, which is characteristic of esophageal achalasia, but also the esophageal dilatation, residue retention, a pin-stripe pattern and extramural compression of the esophagus by the vertebrae(endoscopic vertebrae sign). An esophageal manometry test revealed Type-I achalasia, and an esophagography revealed barium retention, leading to a diagnosis of esophageal Type-I achalasia(straight type, Grade-I dilatation). Dysphagia is one of the typical symptoms that suggest esophageal motility disorders. Thus, it is important to consider the differential diagnosis based on the patient's symptoms and accurately diagnose esophageal achalasia.


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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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