A Case of Esophageal Achalasia with Tracheal Stenosis

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  • Ogoshi Toshio
    Laboratory of Otolaryngology, Ohashi Hospital, Toho University School of Medicine
  • Uchiyama Mari
    Laboratory of Otolaryngology, Ohashi Hospital, Toho University School of Medicine
  • Usui Nobuo
    Laboratory of Otolaryngology, Ohashi Hospital, Toho University School of Medicine

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Other Title
  • 気管狭さくを合併した食道アカラシアの１症例
  • キカン キョウサク オ ガッペイシタ ショクドウ アカラシア ノ 1 ショウレ

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Description

Respiratory symptoms and pulmonary complications due to repeated aspiration of food and secertion retained in dilated esophagus are often observed in the patient with esophageal achalasia.<BR>A 22-year-old woman with a two year history of stridor and dysphagia was reported. Chest radiography, esophageal radiography, flexible fiber esophagoscopy and pulmonaryfunction tests were performed, and the clinical diagnosis was achalasia of the esophagus.<BR>Lateral chest radiograms revealed the trachea compressed and anteriorly displaced by enormously dilated esophagus.<BR>The flow-volume loop showed the so-called large airway obstructive pattern with a decrease in the peak expiratory flow followed by a low plateau phase.<BR>The trachea compressed and constricted by considerable distension of the esophagus may be accountable for the stridor seen in this patient.

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