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The case of self‐resolving type III achalasia after bilateral lung transplant
Author(s) -
Aggarwal P.,
Bansal V.,
Aggarwal N.,
Arora Z.,
Murthy S.,
Gabbard S.
Publication year - 2017
Publication title -
neurogastroenterology and motility
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.489
H-Index - 105
eISSN - 1365-2982
pISSN - 1350-1925
DOI - 10.1111/nmo.13048
Subject(s) - achalasia , dysphagia , medicine , high resolution manometry , surgery , lung , lung transplantation , gastroenterology , esophagus
Background Post‐surgical achalasia has been previously described in large case series but there are limited data on the natural progression of the disease process. In general, achalasia is considered an “incurable” disease as per published guidelines. We present here, the first report of a patient with post‐surgical achalasia which resolved spontaneously. Methods This is a retrospective chart review. Key Results A 60‐year‐old male presented for dysphagia 3 months status post‐bilateral lung transplant and was diagnosed with achalasia following positive manometry. Absent any treatment, his repeat manometry showed complete, spontaneous resolution of the achalasia 2 years following lung transplant. Conclusions & Inferences To our knowledge, this is the first such case of spontaneously resolving achalasia following bilateral lung transplant. This case warrants further study in to the natural progression of post‐surgical achalasia.