MARVIN KOLODNY, M.D.; ZALMAN R. SCHRADER, M.D.; WALTER RUBIN, M.D.; RAYMOND HOCHMAN, M.D.; MARVIN H. SLEISENGER, M.D., F.A.C.P.
A case of invasive gastric carcinoma mimicked idiopathic achalasia. Esophagoscopy, cineradiography, exfoliative cytology, manometry, and the methacholine (Mecholyl⌖) test were consistent with idiopathic achalasia. Only a high index of suspicion based on the short duration of symptoms and particularly the suggestion of a fundal mass in the upper gastrointestinal series led to the correct diagnosis. The demonstrated carcinomatous involvement of the esophageal ganglia probably produced the achalasia.
KOLODNY M, SCHRADER ZR, RUBIN W, HOCHMAN R, SLEISENGER MH. Esophageal Achalasia Probably Due to Gastric Carcinoma. Ann Intern Med. ;69:569–573. doi: 10.7326/0003-4819-69-3-569
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Published: Ann Intern Med. 1968;69(3):569-573.
Esophageal Disorders, Gastric Cancer, Gastroenterology/Hepatology, Gastrointestinal Cancer, Hematology/Oncology.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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