Laparoscopic Heller Myotomy for Type II Achalasia

Oscar M. Crespin, MD; Brant K. Oelschlager, MD; Carlos A. Pellegrini, MD


March 26, 2013

Upper Gastrointestinal Images in Achalasia

Image B corresponds to the manometric pattern characteristic of type I achalasia. This type tends to present with more severe esophageal dilatation and minimal postdeglutitive shortening. Conceptually, these patients can represent disease progression from type II with esophageal body decompensation after prolonged outlet obstruction.

Image A corresponds to a less dilated esophagus in a patient with type II achalasia (achalasia with compression). This is probably early-stage achalasia.

Figure 8. Manometric pattern for the next question, below.

Figure 7. Please review these upper gastrointestinal images for the next question, below.