1. Pulmonary manifestations in patients with achalasia
- Author
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Janković Jelena, Milenković Branislava, and Skrobić Ognjan
- Subjects
achalasia ,functional pulmonary tests ,respiratory symptoms ,chest ct scan ,Medicine - Abstract
Achalasia is a motility disorder caused by insufficient lower esophageal sphincter relaxation. Patients with achalasia, in addition to gastrointestinal symptoms, also have many respiratory symptoms. The mechanisms of lung involvement in those patients may include an extrinsic compression of the trachea from a dilated esophagus or aspiration of undigested food. The aim of this study is to evaluate clinical, structural and functional lung abnormalities in patients with achalasia. Respiratory symptoms can be caused by aspirated sour undigested contents that irritate the respiratory mucosa and retention of food in the lower esophagus can cause chest pain. The most common symptoms are cough, dyspnea, retrosternal pain, and dysphonia. Recurrent micro or macro-aspirations can cause structural changes in the airways and lung parenchyma such as fibrosis, nodular changes, and even pneumonia as an acute pulmonary manifestation. Compression on the bronchial tree can cause obstructive findings on spirometry tests but also restrictive findings can be associated with fibrosis. Decreased diffusion capacity of the lungs is a probable consequence of damage alveolar-capillary membrane with acidic gastric undigested contents. Respiratory symptoms, radiological and functional abnormalities are common in patients with achalasia. Awareness of this association is important in early diagnosis and treatment.
- Published
- 2024
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