{"id":1670,"date":"2017-08-07T07:29:16","date_gmt":"2017-08-07T11:29:16","guid":{"rendered":"https:\/\/www.roshreview.com\/?p=1670"},"modified":"2024-02-21T17:20:28","modified_gmt":"2024-02-21T17:20:28","slug":"rapid-review-achalasia","status":"publish","type":"post","link":"https:\/\/www.roshreview.com\/blog\/rapid-review-achalasia\/","title":{"rendered":"Rapid Review: Achalasia"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><em>Reviewed February 2024<\/em><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"900\" height=\"1024\" src=\"https:\/\/www.roshreview.com\/blog\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Achalasia-@8x-900x1024.png\" alt=\"\" class=\"wp-image-13399\" srcset=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Achalasia-@8x-900x1024.png 900w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Achalasia-@8x-264x300.png 264w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Achalasia-@8x-768x873.png 768w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Achalasia-@8x-1351x1536.png 1351w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Achalasia-@8x-1801x2048.png 1801w\" sizes=\"auto, (max-width: 900px) 100vw, 900px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><strong><span style=\"text-decoration: underline;\">Achalasia<\/span><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sx: <strong>dysphagia to solids <\/strong>and <strong>liquids<\/strong>\n<ul class=\"wp-block-list\">\n<li>Chronic Chagas disease may present similarly<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>PE: absent peristalsis in the lower esophagus<\/li>\n\n\n\n<li>Barium swallow shows <strong>bird-beak appearance<\/strong><\/li>\n\n\n\n<li>Diagnosis is confirmed with <strong>esophageal manometry<\/strong>: increased LES pressure<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"text-decoration: underline;\"><strong>Sample question:<\/strong><\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A 60-year-old man comes to the clinic with reports of difficulty swallowing, heartburn, chest pain, and mild weight loss. He has <strong>difficulty swallowing solids and liquids<\/strong> and often regurgitates undigested food. He has no significant past medical history and takes no medications. He reports no travel-related infection. Esophageal manometry reveals aperistalsis in the distal two-thirds of the esophagus and <strong>incomplete lower esophageal sphincter relaxation<\/strong>. Which of the following is the most likely diagnosis?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Reviewed February 2024 Achalasia Sample question: A 60-year-old man comes to the clinic with reports of difficulty swallowing, heartburn, chest pain, and mild weight loss. He has difficulty swallowing solids and liquids and often regurgitates undigested food. He has no significant past medical history and takes no medications. He reports no travel-related infection. Esophageal manometry <a href=\"https:\/\/www.roshreview.com\/blog\/rapid-review-achalasia\/\">read more&#8230;<\/a><\/p>\n","protected":false},"author":15,"featured_media":6906,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[2020,1996,2021,2022,2023,2024,2025,2026,2027,2028,2029,2000],"tags":[2698,2713,3203,3215],"coauthors":[3864],"class_list":["post-1670","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-adult-gerontology-primary-care","category-blogtype","category-pa-certified","category-certified-emergency-nurse","category-clinical-year","category-didactic-year","category-emergency-medicine","category-emergency-nurse-practitioner","category-family-medicine","category-family-nurse-practitioner","category-internal-medicine","category-rapid-review","tag-gastroenterology","tag-gi","tag-pance","tag-panre"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Rapid Review: Achalasia - RoshReview.com<\/title>\n<meta name=\"description\" content=\"This Rapid Review distills the important facts about achalasia, so you can brush up your knowledge and be a confident medical professional. 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