Acute respiratory failure in achalasia with megaesophagus
Department of Anesthesiology, Dr. Margono Soekarjo Hospital, Banyumas, Indonesia/Faculty of Medicine Jenderal Soedirman University, Banyumas, Indonesia.
Case Study
GSC Advanced Research and Reviews, 2023, 17(02), 188–195
Article DOI: 10.30574/gscarr.2023.17.2.0444
Publication history:
Received on 11 October 2023; revised on 22 November 2023; accepted on 25 November 2023
Abstract:
Introduction: Achalasia is one of the most common causes of dysphagia. Typical symptoms include difficulty in swallowing, regurgitation, weight loss, and chest pain. Megaesophagus is a complication of advanced achalasia. This condition rarely causes tracheal compression with acute dyspnea.
Case Presentation : A 51 years old man came to the emergency room and had complaints of intermittent shortness of breath accompanied by a cough for 1 week, chest pain that came and went, nausea (+), vomiting (+), difficulty in swallowing food, and fever (-). The medical history showed that the patient went to gastroenterology polyclinic to examine his dysphagia and esophageal sphincter dilatation 2 months ago. The patient received treatment in the ward, but the complaints he suffered was getting worse, so he was transferred to the ICU with a diagnosis of acute respiratory failure.
Conclusion: The patient was then intubated and decompressed for the megaoesophagus he suffered with the aim to reduce the compression of the trachea and lungs by the esophagus. The patient was getting better and could be extubated on the 3rd day of treatment.
Keywords:
Achalasia; Megaesophagus; Dyspnea; Dysphagia
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Copyright © 2023 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0
