WILLIAM M. LUKASH, M.D.; RAYMOND B. JOHNSON, M.D.
To the Editor: The recent article, "Esophageal Achalasia Probably Due to Gastric Carcinoma," by Kolodney and associates (1) emphasizes that carcinoma involving the esophagus or the proximal portion of the stomach can affect esophageal innervation, producing the features characteristic of achalasia. We have had two patients, one age 46 and the other age 76, in whom the characteristic roentgenographic, clinical, and endoscopic features of achalasia were seen (Figure 1). Also, both patients responded positively to a Mecholyl® test
and to a dose of effervescent Bromo-Seltzer®. In neither patient did esophagoscopy and biopsy of esophageal tissue show any evidence of malignancy.
LUKASH WM, JOHNSON RB. IMPORTANCE OF ESOPHAGEAL EXFOLIATIVE CYTOLOGY IN ACHALASIA. Ann Intern Med. ;70:420–421. doi: 10.7326/0003-4819-70-2-420_2
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Published: Ann Intern Med. 1969;70(2):420-421.
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