Affiliation:
1. Dipartimento di Chirurgia Generale d’Urgenza e dei Trapianti d’Organo, U.O.C. Chirurgia Generale e d’Urgenza, Policlinico Universitario “Paolo Giaccone, ” Via Liborio Giuffrè 5, 90100 Palermo, Italy
Abstract
Secondary achalasia due to submucosal invasion of cardia by gastric cancer is a rare condition. We report a case of pseudoachalasia, secondary to the involvement of gastroesophageal junction by poorly differentiated gastric cancer, initially mistaken as idiopathic form. We focus on the difficulty to establish differential diagnosis only on the basis of routine exams and we stress the necessity of “second level” instrumental exams; EUS in routine workup in selected patients should be considered. We support that routine workup based on history, clinical presentation, radiological and endoscopic findings, and certainly manometry could be insufficient for a correct differential diagnosis between primary and secondary forms in some patients.
Subject
General Earth and Planetary Sciences,Water Science and Technology,Geography, Planning and Development
Cited by
5 articles.
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