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Achalasia

The endoscopic images in this site are mostly quite compressed in order to make the transmissions times as short as possible. Sometimes it is however nice to have high resolution images, for example for publications, text books or lectures. In these new high resolution files some larger images are displayed.

Just click on any image to get a magnification (and then click "Back" on Your browser). Click here to get back to the index page.

Achalasia, endoscopic finding in the cardia region

Achalasia, x-ray finding

These images show a constant spasm in the cardia region just above the gastro-oesophageal junction, due to achalasia cardiae.

A dilatated oesophagus seen in a x-ray examination in a patient with Achalasia cardiae
Achalasia cardiae is a motility disorder of the oesophagus, where there is a nerve degeneration in the Auerbach´s plexus, causing inability of the lower oesophageal sphincter in the cardia region (C) to relax. In oesophageal x-ray examanations a dilatation of the oesophagus is seen, and the contrast stays in the oesophagus for a long time. Endoscopy shows a quite normal cardia, and in less severe cases the endoscopic diagnose is not easy. Dysphagia is the main symptom, causing weight loss in severe cases. Achalasia can be treated with medicines (nifedipine, nitrates), botulinumtoxin injections in the cardia, dilatation during endoscopy and surgically (Heller´s myotomy).

The Best Image Library in the World!

That is what we would like Gastrolab Image Library and Endoscopic Archives to be.
Perhaps We can achieve this together? Many of You have ecxellent endoscopic images just waiting for publication. When published they can be an invaluable resource for young endoscopists and for gastroenterologic education. Images published here can freely be used for noncommercial purposes.
So, please email Your images here
glabinfo@gmail.com together with a short caption, a notice that our site is permitted to publish them and information if You want a copyright sign © together with You email address (in which case possible commercial publishers can contact You to get permission to publish Your images).

Together we can make the best and most complete Image Library in the World!

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