A Rare Case of Upper Gastrointestinal Bleeding and Esophageal Candidiasis in Severe Achalasia

Authors

Nevin Varghese, MD, Thomas Jefferson University HospitalFollow
Bertilia Tavárez, MD, Thomas Jefferson University HospitalFollow
Justin Robbins, MD, Thomas Jefferson University HospitalFollow

Abstract

Achalasia is an esophageal dysmotility disorder characterized by failure of relaxation of the lower esophageal sphincter (LES), accompanied by aperistalsis of the distal esophagus. Recent data show that the prevalence of achalasia in the United States is 10 per 100,000 individuals.¹ Complications of achalasia include esophagitis, esophageal ulcer, esophagealtracheal fistula, esophageal rupture, aspiration pneumonia, and squamous cell carcinoma. We report a rare case of upper gastrointestinal bleeding associated with esophageal ulcer and candidiasis in a patient with severe achalasia requiring multiple endoscopic interventions.

Recommended Citation

Varghese, MD, Nevin; Tavárez, MD, Bertilia; and Robbins, MD, Justin (2024) "A Rare Case of Upper Gastrointestinal Bleeding and Esophageal Candidiasis in Severe Achalasia," The Medicine Forum: Vol. 25, Article 13.
DOI: https://doi.org/10.29046/TMF.025.1.012
Available at: https://jdc.jefferson.edu/tmf/vol25/iss1/13