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ACHALASIA CARDIA AND GASTRIC OUTLET STENOSIS IN A POST MENOPAUSAL WOMAN: CASE REPORT
Abstract
SUMMARY
The orderly contractility of the oesophagus and the regulated ability of the pyloric
sphincter allow the influx and the efflux of gastric contents. When these physiological
processes are impaired, gastric luminal transit is altered as expected in achalasia cardia
and gastric outlet obstruction. Movement across the inlet and outlet of the stomach
is therefore altered. A case of a 58-years-old woman diagnosed with simultaneous
occurrence of achalasia cardia and gastric outlet stenosis resulting from chronic duodenal
ulcer is presented. The diagnosis was based on clinical, radiological and intraopeative
finding. This patient has remained well after a simultaneous anterior cardiomyotomy
and H-M pyloroplasty. To my knowledge this is the first time that such an association
causing gastric “inlet” and “outlet” obstruction has been reported.
The orderly contractility of the oesophagus and the regulated ability of the pyloric
sphincter allow the influx and the efflux of gastric contents. When these physiological
processes are impaired, gastric luminal transit is altered as expected in achalasia cardia
and gastric outlet obstruction. Movement across the inlet and outlet of the stomach
is therefore altered. A case of a 58-years-old woman diagnosed with simultaneous
occurrence of achalasia cardia and gastric outlet stenosis resulting from chronic duodenal
ulcer is presented. The diagnosis was based on clinical, radiological and intraopeative
finding. This patient has remained well after a simultaneous anterior cardiomyotomy
and H-M pyloroplasty. To my knowledge this is the first time that such an association
causing gastric “inlet” and “outlet” obstruction has been reported.
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