{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T12:15:42Z","timestamp":1788956142215,"version":"build-2803163510"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T00:00:00Z","timestamp":1728950400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T00:00:00Z","timestamp":1728950400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Achalasia is characterized as an esophageal motility disorder with incomplete relaxation of the lower esophageal sphincter. Achalasia can be associated with abnormal peristalsis and symptoms of dysphagia, acid reflux, and chest pain. The exact pathophysiology of achalasia remains unclear, but it is hypothesized to be due to degeneration of the myenteric plexus.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>In this case, a 46-year-old Hispanic man presented to the emergency room with a 12-year history of progressive discomfort with swallowing solids and liquids. Due to many years of incomplete follow-up care and lack of understanding of the course of his disease, this patient\u2019s symptoms escalated to complete intolerance of oral intake and significant weight loss. He was diagnosed with achalasia during his hospital stay and treated successfully with laparoscopic Heller myotomy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This case discussion illustrates the importance of follow-up care and patient education so that diagnosis and treatment of achalasia are not delayed.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-024-04717-7","type":"journal-article","created":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T00:01:56Z","timestamp":1728950516000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Delayed diagnosis and treatment of achalasia: a case report"],"prefix":"10.1186","volume":"18","author":[{"given":"Sabrina","family":"Ginsburg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsea","family":"Caplan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gauri","family":"Agarwal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,10,15]]},"reference":[{"issue":"1","key":"4717_CR1","first-page":"120","volume":"91","author":"MJ Herzig","year":"2018","unstructured":"Herzig MJ, Tutuian R. Focal achalasia\u2014case report and review of the literature. Clujul Med. 2018;91(1):120\u20138.","journal-title":"Clujul Med"},{"issue":"9","key":"4717_CR2","doi-asserted-by":"publisher","first-page":"e256","DOI":"10.1111\/j.1365-2982.2010.01511.x","volume":"22","author":"DC Sadowski","year":"2010","unstructured":"Sadowski DC, Ackah F, Jiang B, Svenson LW. Achalasia: incidence, prevalence and survival: a population-based study. Neurogastroenterol Motil. 2010;22(9):e256\u201361.","journal-title":"Neurogastroenterol Motil"},{"issue":"4","key":"4717_CR3","doi-asserted-by":"publisher","first-page":"721","DOI":"10.1016\/j.gtc.2021.07.001","volume":"50","author":"S Pomenti","year":"2021","unstructured":"Pomenti S, Blackett JW, Jodorkovsky D. Achalasia. Gastroenterol Clin North Am. 2021;50(4):721\u201336.","journal-title":"Gastroenterol Clin North Am"},{"issue":"2","key":"4717_CR4","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1053\/j.gastro.2010.06.024","volume":"139","author":"DL Francis","year":"2010","unstructured":"Francis DL, Katzka DA. Achalasia: update on the disease and its treatment. Gastroenterology. 2010;139(2):369-374.e2.","journal-title":"Gastroenterology"},{"key":"4717_CR5","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-13569-4","volume-title":"Achalasia diagnosis and treatment","author":"PM Fisichella","year":"2016","unstructured":"Fisichella PM, Herbella FAM, Patti MG. Achalasia diagnosis and treatment. 1st ed. Cham: Springer International Publishing; 2016.","edition":"1"},{"issue":"2","key":"4717_CR6","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1590\/S0004-28032003000200012","volume":"40","author":"RO Dantas","year":"2003","unstructured":"Dantas RO. Compara\u00e7\u00e3o entre acal\u00e1sia idiop\u00e1tica e acal\u00e1sia conseq\u00fcente \u00e0 doen\u00e7a de Chagas: revis\u00e3o de publica\u00e7\u00f5es sobre o tema. Arq Gastroenterol. 2003;40(2):126\u201330.","journal-title":"Arq Gastroenterol"},{"issue":"5","key":"4717_CR7","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1111\/j.1442-2050.2008.00811.x","volume":"21","author":"FAM Herbella","year":"2008","unstructured":"Herbella FAM, Aquino JLB, Stefani-Nakano S, Artifon ELA, Sakai P, Crema E, et\u00a0al. Treatment of achalasia: lessons learned with Chagas\u2019 disease. Dis Esophagus. 2008;21(5):461\u20137.","journal-title":"Dis Esophagus"},{"issue":"6","key":"4717_CR8","doi-asserted-by":"publisher","first-page":"943","DOI":"10.1097\/SLA.0000000000000212","volume":"258","author":"MB Schoenberg","year":"2013","unstructured":"Schoenberg MB, Marx S, Kersten JF, R\u00f6sch T, Belle S, K\u00e4hler G, et\u00a0al. Laparoscopic Heller myotomy versus endoscopic balloon dilatation for the treatment of achalasia: a network meta-analysis. Ann Surg. 2013;258(6):943\u201352.","journal-title":"Ann Surg"},{"key":"4717_CR9","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1111\/1754-9485.06_12784","volume":"62","author":"H Xiang","year":"2018","unstructured":"Xiang H, Han J, Ridley WE, Ridley LJ. Bird\u2019s beak sign: achalasia. J Med Imaging Radiat Oncol. 2018;62:58.","journal-title":"J Med Imaging Radiat Oncol"},{"issue":"4","key":"4717_CR10","doi-asserted-by":"publisher","first-page":"487","DOI":"10.1016\/j.annemergmed.2017.08.045","volume":"71","author":"S Chou","year":"2018","unstructured":"Chou S, Deng Y, Smart J, Parwani V, Bernstein SL, Venkatesh AK. Insurance status and access to urgent primary care follow-up after an emergency department visit in 2016. 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A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"502"}}