Achalasia complicated with bilateral pneumonia and sepsis
Achalasia is a rare esophageal motility disorder that is mostly manifested by the basic triad of symptoms: dysphagia, regurgitation, and retrosternal pain. Patients often disregard the symptoms for years or are treated for overlapping conditions with similar symptoms, such as GERD, gastritis, or var...
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| Format: | Article |
| Language: | English |
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Hrvatski liječnički zbor
2024-01-01
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| Series: | Liječnički vjesnik |
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| Online Access: | https://hrcak.srce.hr/file/473037 |
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| author | Jelena Isaković Ivana Spasojević Stanislava Petrović Ivan Ergelašev Branislava Jorović Dajana Lendak |
| author_facet | Jelena Isaković Ivana Spasojević Stanislava Petrović Ivan Ergelašev Branislava Jorović Dajana Lendak |
| author_sort | Jelena Isaković |
| collection | DOAJ |
| description | Achalasia is a rare esophageal motility disorder that is mostly manifested by the basic triad of symptoms: dysphagia, regurgitation, and retrosternal pain. Patients often disregard the symptoms for years or are treated for overlapping conditions with similar symptoms, such as GERD, gastritis, or various lung diseases from asthma to obstructive pulmonary disease. A common complication is aspiration leading to pneumonia, and these patients often go from pulmonologists to gastroenterologists in search of a diagnosis and cure. This study presents the case of a patient treated for severe, rare complication of achalasia, megaesophagus and esophagopleural fistula. The case study highlights the importance of a multidisciplinary approach, choosing the right therapeutic approach, and objective assessment of the situation, when we decide on one option while another option arises as the only one that is sustainable. In this case it is a complex intensive care approach. |
| format | Article |
| id | doaj-art-cdcc52a995254c5d9198a0b50682584d |
| institution | Kabale University |
| issn | 0024-3477 1849-2177 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Hrvatski liječnički zbor |
| record_format | Article |
| series | Liječnički vjesnik |
| spelling | doaj-art-cdcc52a995254c5d9198a0b50682584d2025-01-27T13:03:47ZengHrvatski liječnički zborLiječnički vjesnik0024-34771849-21772024-01-0114611-1239740210.26800/LV-146-11-12-3Achalasia complicated with bilateral pneumonia and sepsisJelena IsakovićIvana SpasojevićStanislava PetrovićIvan ErgelaševBranislava JorovićDajana LendakAchalasia is a rare esophageal motility disorder that is mostly manifested by the basic triad of symptoms: dysphagia, regurgitation, and retrosternal pain. Patients often disregard the symptoms for years or are treated for overlapping conditions with similar symptoms, such as GERD, gastritis, or various lung diseases from asthma to obstructive pulmonary disease. A common complication is aspiration leading to pneumonia, and these patients often go from pulmonologists to gastroenterologists in search of a diagnosis and cure. This study presents the case of a patient treated for severe, rare complication of achalasia, megaesophagus and esophagopleural fistula. The case study highlights the importance of a multidisciplinary approach, choosing the right therapeutic approach, and objective assessment of the situation, when we decide on one option while another option arises as the only one that is sustainable. In this case it is a complex intensive care approach.https://hrcak.srce.hr/file/473037ESOPHAGEAL ACHALASIA – complicationsPNEUMONIA, ASPIRATION – etiologySEPSIS – etiologyESOPHAGEAL FISTULARESPIRATORY TRACT FISTULAPLEURAL DISEASES |
| spellingShingle | Jelena Isaković Ivana Spasojević Stanislava Petrović Ivan Ergelašev Branislava Jorović Dajana Lendak Achalasia complicated with bilateral pneumonia and sepsis Liječnički vjesnik ESOPHAGEAL ACHALASIA – complications PNEUMONIA, ASPIRATION – etiology SEPSIS – etiology ESOPHAGEAL FISTULA RESPIRATORY TRACT FISTULA PLEURAL DISEASES |
| title | Achalasia complicated with bilateral pneumonia and sepsis |
| title_full | Achalasia complicated with bilateral pneumonia and sepsis |
| title_fullStr | Achalasia complicated with bilateral pneumonia and sepsis |
| title_full_unstemmed | Achalasia complicated with bilateral pneumonia and sepsis |
| title_short | Achalasia complicated with bilateral pneumonia and sepsis |
| title_sort | achalasia complicated with bilateral pneumonia and sepsis |
| topic | ESOPHAGEAL ACHALASIA – complications PNEUMONIA, ASPIRATION – etiology SEPSIS – etiology ESOPHAGEAL FISTULA RESPIRATORY TRACT FISTULA PLEURAL DISEASES |
| url | https://hrcak.srce.hr/file/473037 |
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