Achalasia Secondary to Submucosal Invasion by Poorly Differentiated Adenocarcinoma of the Cardia, Siewert II: Consideration on Preoperative Workup.

Giorgio Romano, Gaspare Gulotta, Antonino Agrusa, Giuseppe Di Buono, Daniela Chianetta, Giovanni De Vita, Giuseppe Frazzetta, Silvia Di Giovanni, Vincenzo Sorce

Research output: Contribution to journalArticle

Abstract

Secondary achalasia due to submucosal invasion of cardia by gastric cancer is a rare condition. We report a case of pseudoachalasia, secondary to the involvement of gastroesophageal junction by poorly differentiated gastric cancer, initially mistaken as idiopathic form. We focus on the difficulty to establish differential diagnosis only on the basis of routine exams and we stress the necessity of "second level" instrumental exams; EUS in routine workup in selected patients should be considered. We support that routine workup based on history, clinical presentation, radiological and endoscopic findings, and certainly manometry could be insufficient for a correct differential diagnosis between primary and secondary forms in some patients.
Original languageEnglish
Number of pages0
JournalCASE REPORTS IN SURGERY
Volume2014
Publication statusPublished - 2014

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Cardia
Esophageal Achalasia
Stomach Neoplasms
Adenocarcinoma
Differential Diagnosis
Esophagogastric Junction
Manometry
History

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Achalasia Secondary to Submucosal Invasion by Poorly Differentiated Adenocarcinoma of the Cardia, Siewert II: Consideration on Preoperative Workup. / Romano, Giorgio; Gulotta, Gaspare; Agrusa, Antonino; Di Buono, Giuseppe; Chianetta, Daniela; De Vita, Giovanni; Frazzetta, Giuseppe; Di Giovanni, Silvia; Sorce, Vincenzo.

In: CASE REPORTS IN SURGERY, Vol. 2014, 2014.

Research output: Contribution to journalArticle

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AU - Romano, Giorgio

AU - Gulotta, Gaspare

AU - Agrusa, Antonino

AU - Di Buono, Giuseppe

AU - Chianetta, Daniela

AU - De Vita, Giovanni

AU - Frazzetta, Giuseppe

AU - Di Giovanni, Silvia

AU - Sorce, Vincenzo

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N2 - Secondary achalasia due to submucosal invasion of cardia by gastric cancer is a rare condition. We report a case of pseudoachalasia, secondary to the involvement of gastroesophageal junction by poorly differentiated gastric cancer, initially mistaken as idiopathic form. We focus on the difficulty to establish differential diagnosis only on the basis of routine exams and we stress the necessity of "second level" instrumental exams; EUS in routine workup in selected patients should be considered. We support that routine workup based on history, clinical presentation, radiological and endoscopic findings, and certainly manometry could be insufficient for a correct differential diagnosis between primary and secondary forms in some patients.

AB - Secondary achalasia due to submucosal invasion of cardia by gastric cancer is a rare condition. We report a case of pseudoachalasia, secondary to the involvement of gastroesophageal junction by poorly differentiated gastric cancer, initially mistaken as idiopathic form. We focus on the difficulty to establish differential diagnosis only on the basis of routine exams and we stress the necessity of "second level" instrumental exams; EUS in routine workup in selected patients should be considered. We support that routine workup based on history, clinical presentation, radiological and endoscopic findings, and certainly manometry could be insufficient for a correct differential diagnosis between primary and secondary forms in some patients.

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JO - CASE REPORTS IN SURGERY

JF - CASE REPORTS IN SURGERY

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