Successful treatment of vigorous achalasia associated with gastric lymphoma |
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Authors: | Dr Michael M Kline MD |
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Institution: | (1) Gastroenterology Department, Darliel Freeman Hospital, 90301 Inglewood, California |
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Abstract: | Summary A 61-year-old male was evaluated for dysphagia. Esophageal manometry revealed vigorous achalasia. Upper-gastrointestinal endoscopy revealed a probable gastric neoplasm which was confirmed at laparotomy. Histologically the tumor was a lymphoma. Antineoplastic therapy resulted in rapid and complete improvement in the patient's dysphagia. Repeat esophageal manometry was normal. It is concluded that: (1) patients presenting with achalasia or vigorous achalasia should be carefully evaluated for the presence of a gastric malignancy involving the gastric fundus and lower esophagus; (2) chemotherapy may produce a resolution of esophageal symptoms. |
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