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- Title
Different preanesthetic evaluation and management cause a major different outcome in an esophageal achalasia patient.
- Authors
Chen, Yu-Chou; Fu, Pei-Han; Lin, Yao-Tsung; Chen, Jen-Yin; Wu, Zhi-Fu
- Abstract
No aspiration event was found following the surgery.{Figure 2} Yang et al.[[3]] suggested that patients with EA were maintained on a clear liquid diet for 48 h before the procedure, and clear liquids for 3-5 days were recommended for patients whose available preprocedural esophagogastroduodenoscopy revealed significant food retention in the esophagus. Dear Editor, Esophageal achalasia (EA) is an esophageal motility disorder involving the smooth muscle layer of the esophagus and the lower esophageal sphincter (LES).[[1]] It is characterized by incomplete LES relaxation, increased LES tone, and impaired peristalsis in the esophagus, resulting in regurgitation of undigested food.[[2]] Therefore, aspiration pneumonia occurs frequently in EA patients, especially those receiving emergency surgery.
- Subjects
ESOPHAGEAL achalasia; ESOPHAGEAL motility disorders; ENDOTRACHEAL suctioning; MEDICAL records; ESOPHAGOGASTRIC junction
- Publication
Journal of Medical Sciences (1011-4564), 2023, Vol 43, Issue 1, p49
- ISSN
1011-4564
- Publication type
Article
- DOI
10.4103/jmedsci.jmedsci_73_21