Anesth Pain Med.  2012 Apr;7(2):151-154.

Aspiration pneumonitis in achalasia patient treated by per oral endoscopic myotomy: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, Korea. lovehan3@yahoo.co.kr

Abstract

Achalasia is a rare motor disorder of the esophagus, characterized by the absence of peristalsis and impaired lower esophagus sphincter relaxation. The exact etiology remains unclear. Stasis of ingested food in esophagus lead to clinical symptoms such as dysphagia, regurgitation, retrosternal pain and weight loss. We report a case of regurgitation during general anesthesia in thyroid cancer patient with achalasia of esophagus. Despite having per oral endoscopic myotomy 6 months ago, the patient presented regurgitation and aspiration pneumonitis. The patient recovered after a week of antibiotics therapy.

Keyword

Achalasia; Aspiration pneumonitis; Per oral endoscopic myotomy

MeSH Terms

Anesthesia, General
Anti-Bacterial Agents
Deglutition Disorders
Esophageal Achalasia
Esophagus
Humans
Peristalsis
Pneumonia
Relaxation
Thyroid Neoplasms
Weight Loss
Anti-Bacterial Agents
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