Year 2021 / Volume 113 / Number 6
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Severe respiratory failure secondary to megaesophagus due to terminal achalasia

463-464

DOI: 10.17235/reed.2020.7672/2020

David Ortiz López, María Asunción Acosta Mérida, María del Mar Callejón Cara, Joaquín Marchena Gómez,

Abstract
We present the case of a 56-year-old male diagnosed with achalasia ten years previously without follow-up. He presented with fever, dysphonia and dyspnea associated with a constitutional syndrome of one month of evolution. Laboratory tests showed leucocytosis of 15,870/ul. The chest radiography confirmed mediastinal widening and a chest computed tomography (CT) showed full esophageal dilation up to 10 cm compressing the trachea and right main bronchus, with tapering at the esophagogastric junction.
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References
KHASHAB, Mouen A., et al. ASGE guideline on the management of achalasia. Gastrointestinal endoscopy, 2020, vol. 91, no 2, p. 213-227. e6.
Nurczyk, K., & Patti, M. G. (2020). Surgical management of achalasia. Annals of gastroenterological surgery, 4(4), 343–351.
Aiolfi A, Asti E, Bonitta G, Bonavina L. Esophagectomy for end‐stage achalasia: systematic review and meta‐analysis. World J Surg. 2018;42(5):1469–76.
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Ortiz López D, Acosta Mérida M, Callejón Cara M, Marchena Gómez J. Severe respiratory failure secondary to megaesophagus due to terminal achalasia. 7672/2020


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Publication history

Received: 21/11/2020

Accepted: 29/11/2020

Online First: 04/01/2021

Published: 04/06/2021

Article revision time: 3 days

Article Online First time: 44 days

Article editing time: 195 days


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