Acute Airway Obstruction in a Patient with Achalasia

DOI Web Site 参考文献17件
  • Miyamoto Shin'ichi
    Department of Gastroenterogy and Hepatology, Graduate School of Medicine, Kyoto University, Japan
  • Konda Yoshitaka
    Department of Gastroenterogy and Hepatology, Graduate School of Medicine, Kyoto University, Japan
  • Matsui Masashi
    Department of Gastroenterogy and Hepatology, Graduate School of Medicine, Kyoto University, Japan
  • Sawada Kazuya
    Department of Gastroenterogy and Hepatology, Graduate School of Medicine, Kyoto University, Japan
  • Ikeda Kazuki
    Department of Gastroenterogy and Hepatology, Graduate School of Medicine, Kyoto University, Japan
  • Watanabe Norihiko
    Department of Gastroenterogy and Hepatology, Graduate School of Medicine, Kyoto University, Japan
  • Kawanami Chiharu
    Department of Gastroenterogy and Hepatology, Graduate School of Medicine, Kyoto University, Japan
  • Chiba Tsutomu
    Department of Gastroenterogy and Hepatology, Graduate School of Medicine, Kyoto University, Japan

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抄録

Megaesophagus resulting from achalasia is a rare but serious cause of acute airway obstruction. We treated achalasia in a 52-year-old woman with acute respiratory distress and stridor. Chest X-ray and endoscopy showed a marked dilatation of the cervical esophagus with a large amount of undigested food. Emergency suction of the food through a nasogastric tube led to decompression of the esophagus and the immediate relief of respiratory symptoms. These findings suggest a dysfunction of the upper esophageal sphincter as a possible mechanism. As this exceptional complication of achalasia is fatal, a wider appreciation is required.<br>

収録刊行物

  • Internal Medicine

    Internal Medicine 50 (20), 2333-2336, 2011

    一般社団法人 日本内科学会

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