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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, endoscopic finding in the cardia region



Achalasia, endoscopic finding in the cardia region



Achalasia, endoscopic finding in the cardia region



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).

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December 14, 2011