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Korean J Gastroenterol  <  Volume 73(2); 2019 <  Articles

Korean J Gastroenterol 2019; 73(2): 105-108  https://doi.org/10.4166/kjg.2019.73.2.105
Achalasia Cardia Resulting in Bronchial Obstruction - A Case Series and Literature Review
Eric Omar Then, Tagore Sunkara1 , Febin John1, Kishore Kumar Dewnani2, Andrea Culliford and Vinaya Gaduputi
Division of Gastroenterology and Hepatology, SBH Health System, Bronx, NY; Division of Gastroenterology and Hepatology, Mercy One Des Moines Medical Center1, Des Moines, IA; Division of Gastroenterology and Hepatology, Bronx Lebanon Hospital Center2, Bronx, NY, USA
Correspondence to: Tagore Sunkara, Division of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, 121 Dekalb Avenue, Brooklyn, NY 11201, USA. Tel: +1-217-671-2094, Fax: +1-718-960-3218, E-mail: tagoresunkara@hotmail.com, ORCID: https://orcid.org/0000-0001-9536-9027
Received: March 11, 2018; Revised: June 1, 2018; Accepted: July 7, 2018; Published online: February 25, 2019.
© The Korean Journal of Gastroenterology. All rights reserved.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Achalasia is a motility disorder of the esophagus that is characterized by loss of ganglionic neurons within the myenteric plexus of the lower esophageal sphincter (LES) resulting in failure of the LES to relax. Clinically this disorder presents with simultaneous dysphagia to solids and liquids, and if left untreated, leads to esophageal dilation, which can give rise to many adverse consequences. Extrinsic compression of respiratory structures is one such consequence, and rarely, cases of tracheal compression secondary to achalasia have been reported. However, cases of extrinsic bronchial compression are yet rarer. Here, we present a case series comprised of two patients with achalasia who presented with extrinsic bronchial compression by a dilated esophagus secondary to achalasia.
Keywords: Esophageal achalasia; Dysphagia; Airway obstruction; Heller myotomy; Esophageal motility disorders


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