A 60 yr-old lady Underwent Successful Laparoscopic Surgery for Achalasia Crardia
S Singh
She was sleeping everyday at 45 degree angle to avoid reflux and sometimes on chair in sitting position. A Team of Gastroenterologist led by Dr Roy Patankar, Director & Gastroenterologist Zen Multi specialty Hospital successfully performed a laparoscopic surgery on 60 year old patient from Pune, Mrs. Sant who had complaints of mucus refluxing back in mouth with food moving very slowly through food pipe.
Achalasia Crardia is very rare with ratio of 1/ 100000
Mrs Sant, working professionally as special educator at Pune, was seen by local surgeon at Pune with complaints of food and mucus refluxing back in mouth with food moving very slowly through food pipe (As she describes). She was not able to lye down at all. She was sleeping everyday at 45 degree angle to avoid reflux, sometimes sleeping on chair in sitting position. Initially she was misdiagnosed as acidity. No relief with any medication at all.
She was referred to Dr Roy Patankar, Zen hospital and after consulting she underwent thorough work up. She underwent Endoscopy, Manometry (Measuring pressure in food pipe and Barium FT). She was diagnosed with Achalasia Cardia.
After confirming the diagnosis, Dr Roy Patankar suggested laparoscopic surgery in which pressure was released which avoid stoppage of food in food pipe and reflux to mouth. Post surgery she was completely relieved of symptoms and also was able to lye down in supine position (After many years). After surgery Mrs Sant was able to eat everything.
Dr Roy Patankar, Director & Gastroenterologist Zen Multi specialty Hospital, says, “Diagnosis is achieved by doing Barium x ray of esophagus (Special dye is given to patient to swallow and x ray is done) and endoscopy. After x ray, pressure of food pipe is measured by doing a test called manometry.”
“The esophageal motility disorder is where muscles of esophagus are not able to move food down through esophagus. Usually people complaints of difficulty in swallowing, regurgitation and sometimes chest pain.” says Dr Patankar.
Mrs Sant says “It was very difficult to stay sleepless and continuous refluxing food and mucus in outh. I m really happy post treatment I am able to sleep and back to work regularly.”
