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Korean J Neurogastroenterol Motil. 2005 Dec;11(2):161-165. Korean. Case Report.
Kwon HC , Lee KJ , Meong BH , Jung JY , Hahm KB , Kim JH , Cho SW .
Department of Gastroenterology, Ajou University School of Medicine, Suwon, Korea.

Achalasia is a relatively uncommon primary motility disorder of the esophagus that is characterized by aperistalsis of the esophageal body and incomplete relaxation of the LES upon swallowing Vigorous achalasia is a subset of achalasia that show a higher contraction amplitude, minimal esophageal dilatation, prominent tertiary contractions and a higher incidence of chest pain. There is some debates over vigorous achalasia's the response to treatment. We report here on a patient with vigorous achalasia, and the patient showed high amplitude simultaneous contractions of the esophageal body with severe chest pain and dysphagia. This patient was successfully treated by combined treatments with pneumatic balloon dilatation and botulinum toxin injection on the esophageal body and the lower esophageal sphincter.

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