RICHARD W. NAGLER, M.D.; RAPHAEL D. SCHWARTZ, M.D.; WILLIAM M. STAHL JR., M.D.; HOWARD M. SPIRO, M.D., F.A.C.P.
This report documents the occurrence of achalasia in fraternal twins and further emphasizes the clinical value of esophageal motility studies in the evaluation of persistent symptoms after cardiomyotomy.
CASE 1
In November, 1955, a 31-year-old married white man first noted dysphagia; both solids and liquids seemed to stick behind the xiphoid process. Nervous tension did not seem to make the dysphagia worse, There were no other symptoms. He was in good physical condition. X-ray examination showed that the lower esophagus tapered down to a relatively fixed narrowed segment 3 to 4 cm long, with mucosa that appeared to be normal.
NAGLER RW, SCHWARTZ RD, STAHL WM, SPIRO HM. Achalasia in Fraternal Twins. Ann Intern Med. 1963;59:906–910. doi: 10.7326/0003-4819-59-6-906
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Published: Ann Intern Med. 1963;59(6):906-910.
DOI: 10.7326/0003-4819-59-6-906
Esophageal Disorders, Gastroenterology/Hepatology.
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