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esophageal achalasia/lafyèv

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A 38-year-old man diagnosed as esophageal achalasia developed masseter muscle rigidity after intravenous suxamethonium during anesthetic induction. Anesthesia was maintained with intravenous agents and epidural blockade, while the masseter muscle rigidity continued. After the surgery, his body

Fever, cough, and bilateral lung infiltrates. Achalasia associated with aspiration pneumonia.

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Risk factors for immediate complications after progressive pneumatic dilation for achalasia.

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OBJECTIVE The aim of this retrospective study was to determine the risk factors of early complications after progressive pneumatic dilation for achalasia. METHODS Five hundred four dilations were performed in 237 consecutive achalasic patients between 1980 and 1994 with the same technique:

Late results following esophagomyotomy in children with achalasia.

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Twenty one children with achalasia of the esophagus were treated from 1970 to 1986. There were 11 girls and ten boys (average age, 10.9 years; range, 6 months to 16 years). Diagnosis was established by barium swallow in 21 cases and confirmed by manometrics and motility studies in 14. Four children

[Practice guideline of peroral endoscopic myotomy of achalasia: Zhongshan experience].

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Peroral endoscopic myotomy (POEM) is a novel clinical technique developed in 2010, and has been widely accepted for treating achalasia and esophageal motility disorders, because of its minimal invasiveness and good efficacy. Zhongshan Hospital has published the practice guideline (the
A retrospective cohort study was performed to assess risk factors, early clinical characteristics, and outcome of complications in patients undergoing pneumatic dilation. Of 178 patients with achalasia or diffuse esophageal spasm who underwent 236 dilations with a Browne-McHardy dilator, 16 patients

Achalasia. Short-term clinical monitoring after pneumatic dilation.

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Although concern about perforation has led physicians to perform pneumatic dilation for achalasia with routine contrast radiography immediately afterwards and with hospitalization, the need for these precautions has not been demonstrated. In contrast, we have routinely performed pneumatic dilations

Megaesophagus and aspiration pneumonia secondary to gastric ulceration in a foal.

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A 3-month-old foal with a history of persistent fever and leukocytosis was found to have pneumonia, ulceration of the squamous portion of the stomach, and dilatation of the distal portion of the esophagus. The foal was euthanatized and necropsied. The distal portion of the esophagus was severely

[A case of diffuse aspiration bronchiolitis secondary to achalasia of the esophagus].

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A 12-year-old male was admitted to our hospital because of cough, sputum and increasing fever. Chest CT revealed ill-defined small round opacities located around the end of the bronchovascular branchings in almost all of the lung fields. These findings were compatible with diffuse panbronchiolities

Successful treatment of achalasia in childhood by pneumatic dilatation.

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Ten consecutive patients (ages 10 to 17) with achalasia of the esophagus diagnosed by radiographic, manometric, and endoscopic criteria were treated by forceful dilatations of the lower esophageal sphincter. A good to excellent response was seen in eight of the ten patients, manifested by
A 55-year-old man was admitted to the Department of Internal Medicine of our hospital with chief complaints of fever, cough, and right-sided chest pain. Plain radiography of the chest revealed widening of the mediastinum (attributed to esophageal achalasia), pneumonia, and right pleural effusion.

[A surgical case of achalasia with empyema].

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A 57-year-old man who had been complicated with achalasia for thirty years was admitted because of back pain and low grade fever. Chest X-p and Chest CT showed consolidation in the left lower lung field. His respiratory condition was diagnosed as lung abscess preoperatively. After systemic

A case of mediastinitis following botulinum toxin type A treatment for achalasia.

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BACKGROUND A 62-year-old obese, diabetic female underwent endoscopic esophageal injection of botulinum toxin type A (Botox; Allergan, Irvine, CA) for achalasia. The patient presented to her gastroenterologist with chest pain 4 days after the procedure, but no thoracic or gastrointestinal pathologies

Conservative management of esophageal nontransmural tears after pneumatic dilation for achalasia.

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OBJECTIVE We sought to determine the incidence and outcome with conservative management of esophageal nontransmural tears after pneumatic dilation for achalasia. METHODS Retrospective review of 50 pneumatic balloon dilations in 30 patients with achalasia was performed at one center over an 18-month

Bronchiolitis obliterans organizing pneumonia associated with achalasia: A case report.

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There is little mention in the literature about achalasia as an etiologic factor of Bronchiolitis obliterans organizing pneumonia (BOOP). In this study, a case of BOOP, which appeared to be secondary to achalasia is reported. A 35 years old man present with nonproductive cough, chills and fever from
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