IDIOPATHIC ESOPHAGEAL ACHALASIA IN A YOUNG PATIENT: CASE REPORT

Abstract

Diopathic esophageal achalasia is a rare and non-chagasic disorder that affects the lower esophageal sphincter close to the cardia. It occurs due to a neurogenic lesion of the organ in which there is an increase in pressure, not allowing the complete relaxation. Thus, becoming a contorted and dilated esophagus. The main symptom is dysphagia, that is, the difficulty of eating. Complementary exams are important to confirm the diagnosis and the treatment is individualized. A 37-year-old man, presenting regurgitation, postprandial fullness, weight loss, anorexia and nocturnal cough, initially received treatment for gastroesophageal reflux disease, without improvement. He started progressive dysphagia and the investigation with complementary exams confirmed esophageal achalasia, however the etiology was not conclusive. Therefore, after evaluation, Heller-Pinnotcardiomyotomy was instituted with the preparation of partial fundoplication prior to Toupet and the patient evolved to stability. It is concluded, therefore, that it is a rare disease, especially in young patients, difficult to diagnose and individualized treatment.