TY - JOUR
T1 - Achalasia Secondary to Submucosal Invasion by Poorly Differentiated Adenocarcinoma of the Cardia, Siewert II: Consideration on Preoperative Workup.
AU - Agrusa, Antonino
AU - Di Buono, Giuseppe
AU - Gulotta, Gaspare
AU - Romano, Giorgio
AU - Chianetta, Daniela
AU - De Vita, Giovanni
AU - Frazzetta, Giuseppe
AU - Di Giovanni, Silvia
AU - Sorce, Vincenzo
PY - 2014
Y1 - 2014
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.
UR - http://hdl.handle.net/10447/97628
M3 - Article
VL - 2014
JO - CASE REPORTS IN SURGERY
JF - CASE REPORTS IN SURGERY
SN - 2090-6900
ER -