Achalasia and cardiopulmonary arrest

"Respiratory distress and arrest from tracheal compression secondary to megaoesophagus are rare complications of achalasia. We present the case of a man with end-stage achalasia who required oesophagectomy to prevent recurrent life-threatening tracheal compression and respiratory arrest. A literature review is also presented."

"Important points in history include preceding dysphagia to both liquids and solids and sudden onset postprandial respiratory distress. However, as the patients in this report demonstrate, symptoms can be relatively minor. "

"In conclusion, oesophagectomy should be considered for patients with end-stage achalasia and mega-oesophagus causing respiratory compromise to avoid potentially fatal complications such as tracheal compression and subsequent respiratory arrest."

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