Esophageal Achalasia Associated with Early Antral Gastric Cancer -A Case Report-

Kazuhiro Hiramatsu, Takamasa Nagashima, Yasunobu Mizukami, Masahiko Hasegawa, Hidetaka Shigeta and Kiyoaki Niimi

Department of Surgery, Enshu General Hospital

The coexistence of esophageal achalasia and gastric cancer, particularly early gastric cancer, has been only rarely reported. We discuss the case of an elder patient having esophageal achalasia associated with early gastric cancer. A 75-year-old man suffering from dysphagia and chest pain, was found in esophagography to have smooth narrowing of the esophago-gastric junction and a marked flask type 7 cm in dilatation of the lower esophagus. Endoscopic examination revealed much saburra in the lower esophagus but no cancer in the esophagus. In the stomach, 0-IIc+IIa early gastric cancer was observed by gastric opacification and endoscopy. We conducted surgery for achalasia (Modified Belsey-Mark IV procedure) and distal gastrectomy. Gastrointestinal reconstruction was done with the Roux-en-Y procedure. The postoperative course was uneventful and the man has remained symptom-free in the one year and 7 months since.

Key words
esophageal achalasia, early gastric cancer

Reprint requests
Kazuhiro Hiramatsu Department of Surgery, Enshu General Hospital
144-6 Tokiwa-cho, Hamamatsu, 430-0917 JAPAN

Accepted
September 24, 2003

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