Achalasia – Two Types in the Same Patient: Case Report

Abstract

Introduction A paper presented a case of esophageal achalasia with both type 2 and type 3 achalasia found in the same patient.

Case Outline High resolution impedance manometry of esophagus was performed. Liquid swallows induced panesophageal pressurization (achalasia type 2), whereas viscous swallows led to compartmentalized pressurization – distal two thirds of esophagus (achalasia type 3). No complete bolus transit was recorded. Patient refused any procedure.

Conclusion The aim of this paper was to show the necessity of performing manometry using both liquid and viscous swallows in GI departments where this approach has not been routinely used in order to establish proper diagnosis since therapy approach is different between type 2 and type 3 achalasia.

Keywords: achalasia; bolus; esophagus; high resolution impedance manometry; transit