Achalasia of the Esophagus in Association with Renal Cell Carcinoma |
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| Authors: | Flavio D. Manela M.D. Eamonn M. M. Quigley M.D. F.R.C.P. Glasg. Frederick F. Paustian M.D. Rodney J. Taylor M.D. |
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| Affiliation: | Department of Internal Medicine, University of Nebraska Medical Center, Omaha. |
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| Abstract: | A case of secondary achalasia due to renal cell carcinoma is presented. The patient presented with typical clinical, radiologic, and manometric features of achalasia, and was found to have a renal cell carcinoma with metastases to lymph nodes in the region of the cardioesophageal junction. Direct esophageal involvement could not be demonstrated, however. Complete symptomatic remission was obtained with a single hydrostatic balloon dilatation of the cardioesophageal junction and was maintained until the patient's death 7 months later, perhaps as a result of regression of paraesophageal nodal metastases following radiotherapy, immunotherapy, and chemotherapy. |
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