What is Achalasia

an oesophageal motor disorder characterised by a loss of oesophageal peristalsis and failure of the lower oesophageal sphincter to relax in response to swallowing

What groups does Achalasia most commonly present in?

typically presents in middle-age and is equally common in men and women

What are the clinical features of Achalasia?

dysphagia of BOTH liquids and solids

Whats the best diagnostic test for Achalasia?

oesophageal manometry

What would a barium swallow show in Achalasia?

• shows grossly expanded oesophagus, fluid level
• 'bird's beak' appearance

Whats the treatment for Achalasia?

pneumatic (balloon) dilation is increasingly the preferred first-line option

When can surgery be considered for treatment of Achalasia?

recurrent or persistent symptoms