What is the esophagus of Achlasie?
Achalasia esophagus or simply Achalasia is a failure of the esophageal motility. The smooth muscles of the esophagus and a circular muscle placed at the intersection between the stomach and the esophagus, called the lower esophagus sphincter, are connected. The primary Achalalasia of the esophagus has no known basic cause, but some cases are attributed to Chagas' disease and esophageal cancer. The most common symptom is the difficulty of swallowing or dysphagia. Although several therapeutic symptoms are available, it is not proven that it is not proven for this condition. In the Achalalasia of the esophagus, the passage is prevented because the forest has increased muscle tone and did not completely. Moreover, the smooth muscle of the esophagus is unable to push food towards the stomach, which is known as Aperistals. Both of these mechanicsms are attributed to inhibitory neurons inhibition inhibition in response to swallowing stimuli. As a result, the affected person is experiencing difficulty swallowing.
difficulty in swallowing caused by achalasiais usually progressive. Initially, the affected person could not only swallow solids, but over time and fluids are a challenge of swallowing. Another common symptom of oesophageal achalazia is regurgitation of undigested food, to which it often occurs when one lies. Regurgitation increases the risk of aspiration, which could lead to pneumonia. Many patients also suffer from pain or heartburn, usually during the eating period, and this symptom explains why the esophageal achalassia is also called Achalasia cardiae or cardiospasm.
The diagnosis of esophageal achievement is sometimes difficult because its symptoms are similar to gastroesophageal reflux, hiatal hernimua and other functional disorders. Therefore, the physician usually requires a number of tests including barium swallowing, esophagus, endoscopy, endoscopic ultrasound and computer tomography (CT) gastroesophageal intersection. The latter three tests are important when hitting gastroesophageal malignancy from a possible diagnosis. Barya swallowing is a procedure in which Achalasia is markedENA “bird beak” by narrowing the gastroezyophageal intersection. In manometrics there are findings that point to Achalalasia
Achalasia treatment of esophagus includes medicines that reduce the tone of the forest, lifestyle changes, pneumatic dilatation and surgical intervention. Treatment of the first line for Achalasii esophagus is pneumatic dilatation, which is an intervention that includes the location of the balloon in the forest. Botulin toxin injection and nifedipine intake can help reduce pressure. It is also recommended to avoid eating near bed and consumption of alcohol and caffeine products.
If these interventions do not work, surgery can be performed called Heller myotomy. It includes cutting along the esophagus, starting from the forest and down to the proximal part of the stomach. In this procedure, the cut includes only the outer layers of the esophagus. To minimize acid reflux, fundoplication or "wrap" part of the stomach called Fundus around the distal esophagus is performed.