Pregledni rad

HOW TO DISTINGUISH IDIOPATHIC ACHALASIA FROM PSEUDOACHALASIA?

Rosana Troskot Perić ; Department of Gastroenterology and Hepatology, University Hospital Sveti Duh, Zagreb, Croatia ; Faculty of Health Studies, University of Rijeka, Rijeka, Croatia
Danijel Bevanda ; Clinic for Internal Diseases, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
Sandra Zgodić ; Faculty of Humanities and Social Sciences, University of Rijeka, Rijeka, Croatia
Barbara Paušak ; Faculty of Humanities and Social Sciences, University of Rijeka, Rijeka, Croatia
Marina Madunić ; Department of Gastroenterology and Hepatology, University Hospital Sveti Duh, Zagreb, Croatia
Michael Hasanec ; Department of Urology, General Hospital Koprivnica, Koprivnica, Croatia

Sažetak

Achalasia is a disorder characterized by insufficient relaxation of the lower esophageal sphincter and absent peristalsis. It is
usually primary (idiopathic) achalasia, but it can also be secondary achalasia (pseudoachalasia). With a review of the literature,
epidemiological data was gathered on achalasia in this paper, and followed up with presented etiopathogenetic mechanisms of
achalasia. An optimal diagnostic algorithm along with the therapeutic possibilities in achalasia, from endoscopic to surgical
methods of therapy, was analyzed.
The most common causes of pseudoachalasia and the mechanisms of this disorder are reported. In patients with dysphagia and
suspected achalasia, it is important to distinguish idiopathic achalasia from pseudoachalasia, since pseudoachalasia most often
occurs due to tumor infiltrations of the lower esophageal sphincter. In this paper, the importance of a timely and accurate diagnosis
of pseudoachalasia in relation to idiopathic achalasia was shown.

Ključne riječi

achalasia; pseudoachalasia; malignant pseudoachalasia; high-resolution esophageal manometry; therapeutic approach

Hrčak ID:

272669

URI

https://hrcak.srce.hr/272669

Datum izdavanja:

8.2.2022.

Posjeta: 347 *