This 45 year old patient had been referred from another institution for balloon dilatation for achalasia of cardia. He had undergone an upper GI endoscopy and nothing unusual had been discovered. A barium swallow showed the classic bird beak lower esophagus (A: green arrow). The manometric findings also suggested classic achalasia. When we went in to dilate and retroflexed to view the fundus prior to wire insertion, the esophago-gastric junction was seen to be ulcerated and indurated (B:green arrow). We took biopsies (C: green arrow) and cancelled the dilatation till the biopsy report and a CT scan of the lower chest and abdomen.
I am a gastroenterologist. This is a blog of the ERCPs and related endoscopic procedures carried out at my department. Dr Adnan Salim.
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Second (actually 3rd) ERCP for post transplant biliary leak
This 60 year old gentleman had earlier undergone ERCP and stenting for an anastomotic biliary leakage a few months earlier http://ercp365.bl...

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A healthy 48 year old gentleman with a recent history of jaundice. The MRCP outlined a dilated proximal CBD with a small portion of the dist...
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This 25 year old gentleman had undergone a previous ERCP for an anastomotic biliary stricture. http://ercp365.blogspot.com/2015/04/post-li...
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This 60 year old gentleman had earlier undergone ERCP and stenting for an anastomotic biliary leakage a few months earlier http://ercp365.bl...
Natural remedies are sufficient in treating Achalasia however they can provide relief from the symptoms caused by this disorder. Some of the effective Achalasia Natural Treatment include; Mastic Gum, Pickle Juice and Grain Grass.
ReplyDeleteTry Natural Treatment for Achalasia because the mixture of different natural ingredients makes a proper herbal remedy such as Achalasia Herbal Remedy produced by Natural Herbs Clinic. This herbal remedy work properly and can help to treat your achalasia successfully.
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