Achalasia ultrasound: Difference between revisions
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{{Achalasia}} | {{Achalasia}} | ||
{{CMG}} {{AE}} {{TS}}, {{AY}} | |||
==Overview== | |||
[[Endoscopic ultrasound]] is required in cases where [[malignancy]] is suspected. | |||
==Endoscopic Ultrasound== | |||
[[Endoscopic ultrasound]] (EUS) is indicated in cases of achalasia with strong suspicion of malignancy. The presence of the following risk factors raises suspicion for malignancy:<ref name="pmid23877351">{{cite journal| author=Vaezi MF, Pandolfino JE, Vela MF| title=ACG clinical guideline: diagnosis and management of achalasia. | journal=Am J Gastroenterol | year= 2013 | volume= 108 | issue= 8 | pages= 1238-49; quiz 1250 | pmid=23877351 | doi=10.1038/ajg.2013.196 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23877351 }} </ref> | |||
* Elderly patients | |||
* Short duration of [[dysphagia]] history | |||
* Significant [[weight loss]] | |||
* Unusually increased resistance to passage of [[endoscope]] through gastroesophageal junction | |||
Unusual thickening of gastroesophageal junction, mass lesions or neoplastic infiltration revealed on EUS suggests diagnosis of pseudoachalasia instead of achalasia.<ref name="pmid23871090">{{cite journal| author=Boeckxstaens GE, Zaninotto G, Richter JE| title=Achalasia. | journal=Lancet | year= 2013 | volume= | issue= | pages= | pmid=23871090 | doi=10.1016/S0140-6736(13)60651-0 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23871090 }} </ref> | |||
{{#ev:youtube|WCvs_ekHrM4}} | |||
==References== | ==References== | ||
{{Reflist|2}} | |||
[[Category:Gastroenterology]] | |||
[[Category:Otolaryngology]] | |||
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{{WH}} | |||
Latest revision as of 15:33, 27 November 2017
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Achalasia ultrasound On the Web |
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American Roentgen Ray Society Images of Achalasia ultrasound |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Twinkle Singh, M.B.B.S. [2], Ahmed Younes M.B.B.CH [3]
Overview
Endoscopic ultrasound is required in cases where malignancy is suspected.
Endoscopic Ultrasound
Endoscopic ultrasound (EUS) is indicated in cases of achalasia with strong suspicion of malignancy. The presence of the following risk factors raises suspicion for malignancy:[1]
- Elderly patients
- Short duration of dysphagia history
- Significant weight loss
- Unusually increased resistance to passage of endoscope through gastroesophageal junction
Unusual thickening of gastroesophageal junction, mass lesions or neoplastic infiltration revealed on EUS suggests diagnosis of pseudoachalasia instead of achalasia.[2]
{{#ev:youtube|WCvs_ekHrM4}}
References
- ↑ Vaezi MF, Pandolfino JE, Vela MF (2013). "ACG clinical guideline: diagnosis and management of achalasia". Am J Gastroenterol. 108 (8): 1238–49, quiz 1250. doi:10.1038/ajg.2013.196. PMID 23877351.
- ↑ Boeckxstaens GE, Zaninotto G, Richter JE (2013). "Achalasia". Lancet. doi:10.1016/S0140-6736(13)60651-0. PMID 23871090.