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Esophageal Adenocarcinoma: Pseudo-Nutcracker Esophagus

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Abstract

Pseudoachalasia due to adenocarcinoma is well known. We report a case of nutcracker esophagus in the setting of outflow obstruction from esophageal adenocarcinoma. Endoscopy is warranted to exclude similar lesions in patients with “pseudo-nutcracker esophagus”.

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References

  1. Gockel I, Eckardt GI, Schmitt T, Junginger T. Pseudoachalasia: a case series and analysis of the literature. Scand J Gastroenterol. 2005;40:378–85.

    Article  PubMed  Google Scholar 

  2. Tracey JP, Traube M. Difficulties in the diagnosis of pseudoachalasia. Am J Gastroenterol. 1994;89:2014–8.

    PubMed  CAS  Google Scholar 

  3. Colarian JH, Sekkarie M, Rao R. Pancreatic pseudocyst mimicking idiopathic achalasia. Am J Gastroenterol. 1998;93:103–5.

    Article  PubMed  CAS  Google Scholar 

  4. Mittal RK, Ren J, McCallum RW, Shaffer HA Jr, Sluss J. Modulation of feline esophageal contractions by bolus volume and outflow obstruction. Am J Physiol. 1990;258:G208–15.

    PubMed  CAS  Google Scholar 

  5. Benjamin SB, Castell DO. The “nutcracker esophagus” and the spectrum of esophageal motor disorders. Curr Concepts Gastroenterol. 1980;5:3–6.

    Google Scholar 

  6. Katz PO, Dalton CB, Richter JE, Wu WC, Castell DO. Esophageal testing of patients with non cardiac chest pain or dysphagia. Ann Int Med. 1987;106:593–7.

    PubMed  CAS  Google Scholar 

  7. Mujica VR, Mudipalli RS, Rao SS. Pathophysiology of chest pain in patients with nutcracker esophagus. Am J Gastroenterol. 2001;96:1371–7.

    Article  PubMed  CAS  Google Scholar 

  8. Trudgill NJ, Hussain FN, Smith LF, Riley SA. Studies of autonomic function in patients with achalasia and nutcracker oesophagus. Eur J Gastroenterol Hepatol. 1999;11:1349–54.

    Article  PubMed  CAS  Google Scholar 

  9. Melzer E, Ron Y, Tiomni E, Avni Y, Bar-Meir S. Assessment of the esophageal wall by endoscopic ultrasonography in patients with nutcracker esophagus. Gastrointest Endosc 1997;46:223–5.

    Article  PubMed  CAS  Google Scholar 

  10. Paterson WG, Beck IT, DaCosta LR. Transition form nutcracker esophagus to achalasia. A case report. J Clin Gastroenterol. 1991;13:554–8.

    Article  PubMed  CAS  Google Scholar 

  11. O’Rourke RW, Seltman AK, Chang EY, Reavis K, Diggs BS, Hunter JG, et al. A model for gastric banding in the treatment of morbid obesity: the effect of chronic partial gastric outlet obstruction on esophageal physiology. Ann Surg. 2006;244:723–33.

    Article  PubMed  Google Scholar 

  12. Ott DJ, Richter JE, Wu WC, Chen YM, Gelfand DW, Castell DO. Radiologic and manometric correlation in “nutcracker esophagus”. Am J Roentgenol. 1986;147:692–5.

    CAS  Google Scholar 

  13. El-Takli I, O’Brien P, Paterson WG. Clinical diagnosis of achalasia: how reliable is the barium x-ray? Can J Gastroenterol. 2006;20:335–7.

    PubMed  CAS  Google Scholar 

  14. Tracey JP, Traube M. Difficulties in the diagnosis of pseudoachalasia. Am J Gastroenterol. 1994;89:2014–8.

    PubMed  CAS  Google Scholar 

  15. Tucker HJ, Snape WJ, Cohen S. Achalasia secondary to carcinoma: manometric and clinical features. Ann Int Med. 1978;89:315–8.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Division of Gastroenterology and Hepatology, Department of Medicine, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI, 53226, USA

    Adeyemi Lawal, Stephen Antonik, Kulwinder Dua & Benson T. Massey

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  1. Adeyemi Lawal
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  2. Stephen Antonik
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  3. Kulwinder Dua
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  4. Benson T. Massey
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Correspondence to Stephen Antonik.

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Lawal, A., Antonik, S., Dua, K. et al. Esophageal Adenocarcinoma: Pseudo-Nutcracker Esophagus. Dysphagia 24, 234–237 (2009). https://doi.org/10.1007/s00455-008-9175-y

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  • DOI: https://doi.org/10.1007/s00455-008-9175-y

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