Achalasia ultrasound
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.