Cardiac achalasia: modern concepts on etiology, pathogenesis, clinical presentation and diagnostics

The aim of review. To present up-to-date data on etiology, pathogenesis, clinical presentation and diagnostics of cardiac achalasia.Key points. Cardiac achalasia represents primary esophageal motor disease with involvement of myenteric plexus. Basic symptoms of achalasia include dysphagia, regurgita...

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Main Authors: Yu. V. Yevsyutina, O. A. Storonova, A. S. Trukhmanov, V. T. Ivashkin
Format: Article
Language:Russian
Published: Gastro LLC 2014-12-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/1150
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author Yu. V. Yevsyutina
O. A. Storonova
A. S. Trukhmanov
V. T. Ivashkin
author_facet Yu. V. Yevsyutina
O. A. Storonova
A. S. Trukhmanov
V. T. Ivashkin
author_sort Yu. V. Yevsyutina
collection DOAJ
description The aim of review. To present up-to-date data on etiology, pathogenesis, clinical presentation and diagnostics of cardiac achalasia.Key points. Cardiac achalasia represents primary esophageal motor disease with involvement of myenteric plexus. Basic symptoms of achalasia include dysphagia, regurgitation, chest pain and weight loss. Esophageal manometry which allows to evaluate resting pressure and relaxation phenomenon of the lower esophageal sphincter and peristaltic activity of distal part of the esophagus is the «gold standard» of diagnostics. Genetic, autoimmune and infectious theories are considered for disease etiology.Conclusion. For the present moment pathogenesis, clinical presentation and diagnostics methods of cardiac achalasia are investigated in detail, however etiology of disease remains unknown, despite of centuries-old history. The major attention is drawn to autoimmune theory which requires further investigations.
format Article
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institution Kabale University
issn 1382-4376
2658-6673
language Russian
publishDate 2014-12-01
publisher Gastro LLC
record_format Article
series Российский журнал гастроэнтерологии, гепатологии, колопроктологии
spelling doaj-art-e61232c86c2d4d82981a970746130aae2025-02-10T16:14:39ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732014-12-01246412745Cardiac achalasia: modern concepts on etiology, pathogenesis, clinical presentation and diagnosticsYu. V. Yevsyutina0O. A. Storonova1A. S. Trukhmanov2V. T. Ivashkin3State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university» Ministry of Healthcare of the Russian FederationState educational government-financed institution of higher professional education «Sechenov First Moscow state medical university» Ministry of Healthcare of the Russian FederationState educational government-financed institution of higher professional education «Sechenov First Moscow state medical university» Ministry of Healthcare of the Russian FederationState educational government-financed institution of higher professional education «Sechenov First Moscow state medical university» Ministry of Healthcare of the Russian FederationThe aim of review. To present up-to-date data on etiology, pathogenesis, clinical presentation and diagnostics of cardiac achalasia.Key points. Cardiac achalasia represents primary esophageal motor disease with involvement of myenteric plexus. Basic symptoms of achalasia include dysphagia, regurgitation, chest pain and weight loss. Esophageal manometry which allows to evaluate resting pressure and relaxation phenomenon of the lower esophageal sphincter and peristaltic activity of distal part of the esophagus is the «gold standard» of diagnostics. Genetic, autoimmune and infectious theories are considered for disease etiology.Conclusion. For the present moment pathogenesis, clinical presentation and diagnostics methods of cardiac achalasia are investigated in detail, however etiology of disease remains unknown, despite of centuries-old history. The major attention is drawn to autoimmune theory which requires further investigations.https://www.gastro-j.ru/jour/article/view/1150cardiac achalasiaautoantibodiesdysphagia
spellingShingle Yu. V. Yevsyutina
O. A. Storonova
A. S. Trukhmanov
V. T. Ivashkin
Cardiac achalasia: modern concepts on etiology, pathogenesis, clinical presentation and diagnostics
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
cardiac achalasia
autoantibodies
dysphagia
title Cardiac achalasia: modern concepts on etiology, pathogenesis, clinical presentation and diagnostics
title_full Cardiac achalasia: modern concepts on etiology, pathogenesis, clinical presentation and diagnostics
title_fullStr Cardiac achalasia: modern concepts on etiology, pathogenesis, clinical presentation and diagnostics
title_full_unstemmed Cardiac achalasia: modern concepts on etiology, pathogenesis, clinical presentation and diagnostics
title_short Cardiac achalasia: modern concepts on etiology, pathogenesis, clinical presentation and diagnostics
title_sort cardiac achalasia modern concepts on etiology pathogenesis clinical presentation and diagnostics
topic cardiac achalasia
autoantibodies
dysphagia
url https://www.gastro-j.ru/jour/article/view/1150
work_keys_str_mv AT yuvyevsyutina cardiacachalasiamodernconceptsonetiologypathogenesisclinicalpresentationanddiagnostics
AT oastoronova cardiacachalasiamodernconceptsonetiologypathogenesisclinicalpresentationanddiagnostics
AT astrukhmanov cardiacachalasiamodernconceptsonetiologypathogenesisclinicalpresentationanddiagnostics
AT vtivashkin cardiacachalasiamodernconceptsonetiologypathogenesisclinicalpresentationanddiagnostics