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.
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KOLODNY M, SCHRADER ZR, RUBIN W, HOCHMAN R, SLEISENGER MH. Esophageal Achalasia Probably Due to Gastric Carcinoma. Ann Intern Med. 1968;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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