Achalasia ultrasound: Difference between revisions
Jump to navigation
Jump to search
Ahmed Younes (talk | contribs) No edit summary |
Ahmed Younes (talk | contribs) |
||
Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
[[Endoscopic ultrasound]] is required in cases where [[malignancy]] is suspected.<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> | |||
==Endoscopic Ultrasound== | ==Endoscopic Ultrasound== | ||
[[Endoscopic ultrasound]] (EUS) is indicated in cases of achalasia like picture with strong suspicion of malignancy. Presence of following risk factors raises suspicion for malignancy: | [[Endoscopic ultrasound]] (EUS) is indicated in cases of achalasia like picture with strong suspicion of malignancy. Presence of following risk factors raises suspicion for malignancy: |
Revision as of 13:55, 3 November 2017
Achalasia Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Achalasia ultrasound On the Web |
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.[1]
Endoscopic Ultrasound
Endoscopic ultrasound (EUS) is indicated in cases of achalasia like picture with strong suspicion of malignancy. Presence of following risk factors raises suspicion for malignancy:
- 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.