PDF(Pubmed)
Abstract：
Achalasia is one of the most common esophageal motility disorders. Typical symptoms include dysphagia, food regurgitation, respiratory symptoms, chest pain, and weight loss. Respiratory obstruction due to tracheal compression by the massively dilated esophagus is a very rare but fatal complication. A 36-year-old male presented with progressive respiratory distress with a history of untreated dysphagia and regurgitation. Further diagnosis revealed dilatation of the esophagus with undigested food. A Heller myotomy with fundoplication was performed and respiratory symptoms were relieved. Tracheal compression and acute airway obstruction caused by esophageal dilatation in achalasia is a rare presentation. Early recognition of this rare manifestation is critical and emergency treatment is necessary for life saving. Radiological examination can help physicians find the dilated esophagus. Respiratory symptoms resulting from tracheal compression by a dilated esophagus rarely occurred. Even though physicians should be alert and early decompression has to be performed immediately.
摘要：
贲门失弛缓症是最常见的食管运动障碍之一。典型的症状包括吞咽困难,食物反流,呼吸道症状,胸痛,和减肥。由于大量扩张的食道压迫气管引起的呼吸阻塞是非常罕见但致命的并发症。一名36岁男性出现进行性呼吸窘迫，有未经治疗的吞咽困难和反流病史。进一步的诊断显示，未消化的食物使食道扩张。进行了Heller肌切开术伴胃底折叠术，呼吸道症状缓解。食管扩张引起的气管压迫和急性气道阻塞是一种罕见的表现。早期认识到这种罕见的表现至关重要，紧急治疗对于挽救生命是必要的。放射学检查可以帮助医生发现扩张的食道。很少发生扩张的食道压迫气管引起的呼吸道症状。即使医生应该保持警惕，并且必须立即进行早期减压。
