Event Title

Treatment of Achalasia with Botox injection

Session

Medicine and Nursing

Description

Achalasia represents the absence of lower esopaheal sphincter relaxation and absence of normal peristalsis of the esophageal body, showed in incidence of 1-2 patients in 100 000 people. Causes of achalasia are of unknown ethiology or secondary causes. It is present equally in men and women, at every age.

Presence of alarm symptoms, such as dysphagia, weight loss, regurgitation, anemia, family history of cancer, warrant further investigation. Specific testing is needed to distinguish achalasia from other disorders. For diagnosis, upper endoscopy, esophagogram, high resolution esophageal manometry are needed. In distinguished cases, abdomen and chest CT scan and pH testing are performed as well. There are several treatment modalities for achalasia. Botulin toxin injection is known since 1995, from Pasricha and Kalloo. Botulin toxin injection is an effective and safe treatment.

Our presentation is a success story and the first injection, in our state, of Botulinum toxin in order to improve the symptomatic dysphagia, in a 73-year-old man, who had cardiopulmonary contraindications for surgery.

Our presentation is a successful story of the injection of Botulinum toxin in order to improve the symptomatic dysphagia, in a 73-year-old man, who had cardiopulmonary contraindications for surgery. Even after 6 months he feels quite well.

Proceedings Editor

Edmond Hajrizi

ISBN

978-9951-550-47-5

Location

UBT Kampus, Lipjan

Start Date

30-10-2021 12:00 AM

End Date

30-10-2021 12:00 AM

DOI

10.33107/ubt-ic.2021.187

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Oct 30th, 12:00 AM Oct 30th, 12:00 AM

Treatment of Achalasia with Botox injection

UBT Kampus, Lipjan

Achalasia represents the absence of lower esopaheal sphincter relaxation and absence of normal peristalsis of the esophageal body, showed in incidence of 1-2 patients in 100 000 people. Causes of achalasia are of unknown ethiology or secondary causes. It is present equally in men and women, at every age.

Presence of alarm symptoms, such as dysphagia, weight loss, regurgitation, anemia, family history of cancer, warrant further investigation. Specific testing is needed to distinguish achalasia from other disorders. For diagnosis, upper endoscopy, esophagogram, high resolution esophageal manometry are needed. In distinguished cases, abdomen and chest CT scan and pH testing are performed as well. There are several treatment modalities for achalasia. Botulin toxin injection is known since 1995, from Pasricha and Kalloo. Botulin toxin injection is an effective and safe treatment.

Our presentation is a success story and the first injection, in our state, of Botulinum toxin in order to improve the symptomatic dysphagia, in a 73-year-old man, who had cardiopulmonary contraindications for surgery.

Our presentation is a successful story of the injection of Botulinum toxin in order to improve the symptomatic dysphagia, in a 73-year-old man, who had cardiopulmonary contraindications for surgery. Even after 6 months he feels quite well.