Megaesófago como complicación de acalasia: Reporte de caso y revisión narrativa de la literatura
DOI:
https://doi.org/10.22516/25007440.460Palavras-chave:
acalasia, disfagia, motilidad esofágica, manometría de alta resolución, megaesófagoResumo
El megaesófago se presenta entre el 5 % y el 20 % de pacientes con acalasia, un trastorno motor esofágico primario reconocido hace más de 300 años, a considerarse en todo paciente con disfagia no explicada por un proceso obstructivo o inflamatorio luego de un estudio endoscópico detallado. Se presenta el caso de un paciente con disfagia progresiva, en quien se documentó megaesófago como complicación de una acalasia de largo tiempo de evolución, no tratada. Se descartó la enfermedad de Chagas mediante enzimoinmunoensayo (ELISA) e inmunofluorescencia indirecta (IFI), tal como recomiendan las guías actuales. Ante la baja frecuencia de esta entidad en nuestro medio y las implicaciones terapéuticas que tiene para los pacientes con acalasia, se realizó una revisión narrativa en la literatura sobre su diagnóstico y alternativas de manejo.
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![Figura 3. Esofagogastroduodenoscopia (endoscopia de las vías digestivas altas [EVDA]).](https://revistagastrocolcom.biteca.online/public/journals/1/article_460_cover_es_ES.jpg)
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