Document Detail

Rapidly developing airway obstruction resulting from achalasia of the oesophagus.
MedLine Citation:
PMID:  10928442     Owner:  NLM     Status:  MEDLINE    
Megaoesophagus resulting from achalasia is a rare but serious cause of airway obstruction. The exact aetiology remains unclear. Although 29 cases have previously been reported, the potential need for urgent treatment has not been sufficiently emphasized. Some forms of treatment with drugs or decompression with a fine tube have been advocated but emergency tracheal intubation may become necessary. A 90-year-old lady had a bolus of food lodged in her oesophagus but with no respiratory symptoms. The bolus was removed under anaesthesia. Six weeks later she suffered similar symptoms after eating but developed severe airway obstruction over 10 min. Emergency intubation of the trachea was necessary before removing the food bolus under general anaesthesia. This case demonstrates the urgency with which these patients may need to be treated. The condition can rapidly worsen due to swallowing of air and saliva.
H Hay
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of anaesthesiology     Volume:  17     ISSN:  0265-0215     ISO Abbreviation:  Eur J Anaesthesiol     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2000-11-30     Completed Date:  2000-11-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8411711     Medline TA:  Eur J Anaesthesiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  398-400     Citation Subset:  IM    
Department of Anaesthetics, Guy's Hospital, London, UK.
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MeSH Terms
Aged, 80 and over
Airway Obstruction / etiology*
Emergency Treatment
Esophageal Achalasia / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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