Srpski arhiv za celokupno lekarstvo 2013 Volume 141, Issue 11-12, Pages: 807-809
https://doi.org/10.2298/SARH1312807J
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Achalasia - two types in the same patient: Case report
Jovanović Igor D. (Kliničko-bolnički centar „Bežanijska kosa“, Beograd)
Jovanović Dragana R. (Klinički centar Srbije, Beograd)
Uglješić Milenko (Klinički centar Srbije, Beograd)
Milinić Nikola (Kliničko-bolnički centar „Bežanijska kosa“, Beograd)
Cvetković Mirjana (Kliničko-bolnički centar „Bežanijska kosa“, Beograd)
Branković Marija 
(Kliničko-bolnički centar „Bežanijska kosa“, Beograd)
Nikolić Goran (Kliničko-bolnički centar „Bežanijska kosa“, Beograd)
Introduction. A paper presented a case of esophageal achalasia with both type
2 and type 3 achalasia found in the same patient. Case Outline. High
resolution impedance manometry of esophagus was performed. Liquid swallows
induced panesophageal pressurization (achalasia type 2), whereas viscous
swallows led to compartmentalized pressurization - distal two thirds of
esophagus (achalasia type 3). No complete bolus transit was recorded. Patient
refused any procedure. Conclusion. The aim of this paper was to show the
necessity of performing manometry using both liquid and viscous swallows in
GI departments where this approach has not been routinely used in order to
establish proper diagnosis since therapy approach is different between type 2
and type 3 achalasia.
Keywords: achalasia, bolus, esophagus, high resolution impedance manometry, transit