Achalasia is a cause of dysphagia.

This is an educational video briefly reviewing the pathology of Achalasia as a cause of dysphagia. The patient mainly has difficulty in swallowing liquids. It is diagnosed with gastroscopy, Barium swallow, and manometry. The manometry demonstrates the failure of the lower esophageal sphincter to relax. The myotomy is demonstrated in the second part of the video. The circular muscle fibers are divided for a length of 5 cm on the distal esophagus. a Further 2 cm on the cardia of the stomach. A fundoplication is then created as a partial wrap in the form of Toupet fundoplication. This is done to prevent gastroesophageal reflux or heartburn.

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