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Chest
Diagnosis
Mediastinal Abnormalities
Diseases of the Esophagus
Achalasia
Achalasia
Julia Alegría, MD
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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
Achalasia
: Esophageal dilatation due to primary motility disorder
Failure of relaxation of lower esophageal sphincter
Pseudoachalasia
: Esophageal dilatation due to other abnormalities
Reflux esophagitis
Chagas disease (trypanosomiasis)
Esophageal cancer, metastases
IMAGING
General Features
Radiographic Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Rieder E et al: Achalasia: physiology and diagnosis. Ann N Y Acad Sci. ePub, 2020
Vaezi MF et al: ACG clinical guidelines: diagnosis and management of achalasia. Am J Gastroenterol. 115(9):1393-411, 2020
Zaninotto G et al: The 2018 ISDE achalasia guidelines. Dis Esophagus. 31(9), 2018
Stavropoulos SN et al: Diagnosis and management of esophageal achalasia. BMJ. 354:i2785, 2016
Ba-Ssalamah A et al: Dedicated multi-detector CT of the esophagus: spectrum of diseases. Abdom Imaging. 34(1):3-18, 2009
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
Achalasia
: Esophageal dilatation due to primary motility disorder
Failure of relaxation of lower esophageal sphincter
Pseudoachalasia
: Esophageal dilatation due to other abnormalities
Reflux esophagitis
Chagas disease (trypanosomiasis)
Esophageal cancer, metastases
IMAGING
General Features
Radiographic Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Rieder E et al: Achalasia: physiology and diagnosis. Ann N Y Acad Sci. ePub, 2020
Vaezi MF et al: ACG clinical guidelines: diagnosis and management of achalasia. Am J Gastroenterol. 115(9):1393-411, 2020
Zaninotto G et al: The 2018 ISDE achalasia guidelines. Dis Esophagus. 31(9), 2018
Stavropoulos SN et al: Diagnosis and management of esophageal achalasia. BMJ. 354:i2785, 2016
Ba-Ssalamah A et al: Dedicated multi-detector CT of the esophagus: spectrum of diseases. Abdom Imaging. 34(1):3-18, 2009
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