Esophagus
Nonneoplastic disorders
Secondary achalasia (pseudoachalasia)


Topic Completed: 1 December 2012

Revised: 15 February 2019

Copyright: 2003-2019, PathologyOutlines.com, Inc.

PubMed Search: Secondary achalasia[TI] OR pseudoachalasia[TI] esophagus


Elliot Weisenberg, M.D.
Page views in 2018: 235
Page views in 2019 to date: 156
Cite this page: Weisenberg E. Secondary achalasia (pseudoachalasia). PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/esophaguspseudoachalasia.html. Accessed July 18th, 2019.
Definition / general
  • 2 - 4% of patients with achalasia-like syndrome
  • Difficult to diagnosis
  • Resembles achalasia but has different pathology
  • Usually associated with a neoplasm, often adenocarcinoma at / near the esophagogastric junction invading into myenteric plexus (Am J Surg Pathol 2002;26:784, Scand J Gastroenterol 2005;40:378)
  • May be due to Chagas disease
  • Rarely due to a paraneoplastic process (Dis Esophagus 2007;20:168), documented by antineuronal antibodies
  • Reversal of achalasia-like symptoms after treatment of underlying disorder in most cases; reports of successful treatment of secondary achalasis from Chagas disease with botulinum toxin (Dis Esoph 2003;16:33)
Case reports
Clinical images

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Endoscopy

Intraoperative

Close up

Microscopic (histologic) images

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Squamous cell carcinoma

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