Treatment of achalasia with botulinum toxin injection guided by endoscopic ultrasonography in a patient with esophageal varices.

@article{LozanoLanagrn2011TreatmentOA,
  title={Treatment of achalasia with botulinum toxin injection guided by endoscopic ultrasonography in a patient with esophageal varices.},
  author={Marta Lozano-Lanagr{\'a}n and Isabel Lav{\'i}n-Castej{\'o}n and Guillermo Alca{\'i}n-Mart{\'i}nez},
  journal={Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva},
  year={2011},
  volume={103 12},
  pages={663-4}
}
Achalasia is characterized by incomplete lower esophageal sphincter (LES) relaxation and aperistalsis of the esophagus. It is manifested by regurgitation, dysphagia and weight loss. Treatment options include addition of pharmacotherapy, endoscopic dilatation, botulinum toxin injection (BTI) and surgical myotomy. The presence of esophageal varices makes endoscopic treatment difficult and therefore increases the risk of complications. Endoscopic ultrasonography (EUS) allows identification of… CONTINUE READING

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