Citation Information :
Shetty S, Joshi A. Sigmoid-shaped Esophagus of Advanced Achalasia Cardia–Laparoscopic Management: A Case Report. World J Lap Surg 2024; 17 (3):167-171.
Background: Achalasia cardia (AC) is an esophageal motility disorder which, if left untreated, may progress to end-stage sigmoid achalasia characterized by mega-esophagus. It occurs with equal frequency in men and women and there is no racial predilection. Peak incidence has been reported between 30 and 60 years of age.
Case presentation: We herein report a case of a 48-year-old male with progressive dysphagia due to Sigmoid Achalasia, who was treated successfully with laparoscopy.
Clinical significance: Several treatment options exist for the surgical management of a sigmoid esophagus with achalasia, but there is no clear gold standard. In our case, Heller's cardiomyotomy with Dorr's fundoplication provided favorable results.
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