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Achalasia Cardia

cardia treatment clinic gurgaon south delhi

What is Achalasia Cardia?

Achalasia Cardia is the failure of (LES) lower esophageal sphincter to relax and let the food pass down to the stomach which leads to difficulty in swallowing food. It makes hard to pass the foods and liquids to the stomach.

The Esophagus is the muscular tube which helps pass food and liquid to stomach from the throat. As we know, the wall of the esophagus is made up of several layers of tissue, mucous membrane, muscle, and connective tissue. The stomach is a J-shaped organ in the upper abdomen which helps to digest and processes nutrients (vitamins, minerals, carbohydrates, fast, proteins, water) and to pass the waste out of the body. After this, partly-digestive food will move to the small intestine and then to the large intestine.


Causes of Achalasia cardia:-

  • Abnormal function of the nerves controlling the esophagus muscles and the valve or sphincter between the esophagus and stomach.

Symptoms of Achalasia Cardia:-

  • Problems in swallowing Food
  • Regurgitation of food
  • Coughing while lying down
  • Retrosternal discomfort
  • Heartburn.

Diagnosis of Achalasia Cardia:-

The disease is very critical so to diagnose the achalasia cardia is very hard. The following tests may help to diagnose the problem ver accurately:-

  • Barium Swallow: This X-ray is done to review the esophagus and stomach. The process is much technical. A patient is asked to swallow or drink the liquid which is called barium which may create a coating of esophagus and stomach. This will help to get the inside images. This procedure is also called an upper GI series. In people who have achalasia, the X-rays reveal a dilated (enlarged) esophagus and a narrowing of the lower end so that it resembles a birds beak. With achalasia, the barium also stays in the esophagus longer than normal before passing into the stomach.

  • Esophagoscopy: The procedure is done to check esophageal cancer as it is also one of the most critical causes obstructing the food passing through the abdominal procedure. A thin tube-like tool with lens and light which is called esophagoscope is inserted through the mouth down the throat into the esophagus. It may also have a tool to remove tissue samples, which are checked under a microscope for signs of cancer.

  • Esophageal Manometry: a thin tube is inserted into the esophagus which is connected to a pressure recorder and it measures the muscle contractions of the esophagus when the patients swallow. Achalasia can be diagnosed at an early stage through this Manometry.


Treatments of Achalasia Cardia

  1. Non-Surgical Treatments: There are two nonsurgical treatments are popular to treat the achalasia Cardia which are:-

    • Botulinum Toxin: Botox is inserted through injection of esophageal sphincter with an endoscope. The treatment is applicable to the patients going through the poor risk of surgery. The injection may weaken the sphincter muscle and allows the food to pass into the stomach. The regular injection may make the surgery at higher risk only.

    • Balloon Dilatation: A balloon is inserted into esophageal sphincter using the endoscope and inflated to enlarge its opening. This is an outpatient process with a success rate of 50-75%. If esophageal sphincter contracts, surgery is required. There is a very small risk (2-6%) of puncturing the esophagus.


  2. Surgical Treatments: The surgery is performed when medication is not fruitful. The following surgery can be performed:-

    • Esophagomyotomy: The procedure involves cutting esophageal sphincter muscle. It is highly effective and the success rate is also high. Rarely patients may need other treatments such as:-

      • Heller Myotomy: It is a part of laparoscopic surgery which is performed under anesthesia and making a tiny incision. The incision is done to pass the surgical instruments. The scope is connected to a video camera which sends magnified images to monitor allowing surgeon to view the anatomy & to manipulate the instruments. Advantages of Heller Myotomy includes:
        • Minimal post operative pain
        • Faster recovery from surgery
        • Early return to work and normal activities
      • Nissen Fundoplication: Patients may have the complaints of developing gastroesophageal reflux disease (GERD) after a Heller myotomy. So Nissen fundoplication is performed with Heller Myotomy to avoid the condition of GERD. This is also performed laparoscopically wrapping the upper part of the stomach around the lower esophageal sphincter to strengthen it.

Patients are always requisite to visit the specialist in case of abdominal issues. Consult Pristyn Care Laser Clinic to have treatments from Achalasia Expert surgeon Gurgaon. Do not make assumptions about your health. Take treatments on time!!

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