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Vigorous achalasia with high-amplitude esophageal body contractions: a case report

机译：剧烈门失弛缓伴食管高幅收缩：一例报告

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摘要

A 25-year-old woman presented with dysphagia and chest pain in November 1999. Esophagography revealed esophageal stasis with spindle-shaped tapering at the cardia without dilatation of the lower esophagus. Manometry showed a hypertonic sphincter with incomplete relaxation on swallowing. Esophageal body contractions were simultaneous with an amplitude in excess of 200mmHg with tertiary contractions. These findings were not compatible with classic achalasia, but with vigorous achalasia. The patient underwent pneumatic dilatation with immediate relief of her symptoms. However, improvement in dysphagia and chest pain was temporary, necessitating four sessions of dilatation over three and a half years. The literature on this rare esophageal motility disorder is reviewed.
机译：一名25岁的女性在1999年11月出现吞咽困难和胸痛。食管造影显示门处食道淤积并呈纺锤状逐渐变细，而食管下部未扩张。测压显示高渗括约肌，吞咽时松弛不完全。食管体同时收缩，三次收缩幅度超过200mmHg。这些发现与经典门失弛缓症不符，但与剧烈门失弛缓症相符。病人进行了气管扩张术，症状立即缓解。但是，吞咽困难和胸痛的改善是暂时的，需要在三年半的时间内进行四次扩张。文献综述了这种罕见的食管运动障碍。

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