“Bird beak” appearance - ACHALASIA CARDIA

Hii friends,

How are you all?? In my last post i told you about the normal growth and development in children which is a paediatric topic. And if anyone missed, have a lot at it now . Here👇👇
https://steemit.com/health/@vinaykumarr/children-s-health-paediatrics-1-growth-and-development

Today i am going to talk about ACHALASIA CARDIA, to easily remember it is BIRD BEAK appearance in radiography.

PATHOLOGY:

This is a motor disorder of the oesophagus - charecterised by loss of peristalsis, *increased LES( lower iesophageal sphincter) pressure & absent or incomplete relaxation of LES.

CLINICAL FEATURES

1. Dysphagia
2. Vomiting
3. Weightloss
4. Respiratory symptoms.

Toddlers present with coughing and feeding aversion.

DIAGNOSIS

1. Radiodiagnosis by BARIUM SWALLOW- Bird beak appearance is seen due to narrowing of LES and dilatation of oesophagus.
   
   Image source : Radiopaedia https://radiopaedia.org/images/19851277

2. Manometry: Most sensitive and specific tool, shows raised intra oesophageal pressure.

3. Endoscopy is done to exclude other etiologies of dysphagia.

TREATMENT

1. Endoscopic pneumatic balloon dilation
2. Hellers cardiomyotomy with antireflux procedure

These are main therapeutic modalities.

I hope you like this post.

This is my first post in @steemstem, @stemng and i will try to reach your standards in my posts.
I sincerely thank @airclinic for your support.