Gastrointestinal: A rare case of concomitant type III achalasia and chronic idiopathic intestinal pseudo‐obstruction

Sato, Hiroki; Abé, Hiroyuki; Nagashima, A; Yokoyama, Junji; Terai, Shuji

doi:10.1111/jgh.13980

Cited by 4 publications

(1 citation statement)

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“…This is a case presentation of a patient with a long-standing history of CIPO and a new diagnosis of achalasia, the third described case of these 2 diagnoses in the medical literature. 5,6 Both previous cases describe patients who first developed achalasia and then developed CIPO several years later. Here, we describe the first case of a patient with long-standing CIPO and subsequent diagnosis of achalasia.…”

Section: Discussionmentioning

confidence: 99%

Development of Achalasia in a Patient With Chronic Intestinal Pseudo-Obstruction

Kwon¹,

Koop²,

Francis³

2022

ACG Case Rep J

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Development of concurrent achalasia and chronic intestinal pseudo-obstruction (CIPO) is rare, although esophageal dysmotility is common in patients with CIPO and may suggest worse clinical outcomes. We present a case of a 63-year-old man with a 15-year history of CIPO who developed postprandial regurgitation, vomiting, and dysphagia and was diagnosed with achalasia through radiographic and endoscopic findings. This is only the third case in the reported literature that involves both conditions. Rather than representing 2 separate disorders, CIPO and achalasia may instead represent neurogenic variants of 1 underlying condition affecting the myenteric plexus.

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Section: Discussionmentioning

confidence: 99%