Cricopharyngeal Achalasia

Published on 20/07/2015 by admin

Filed under Radiology

Last modified 20/07/2015

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 Pharyngoesophageal junction: C5-6 level

• Videofluoroscopic recording: Frontal, lateral, and oblique

image Rapid sequence filmong required for demonstration


• Cervical osteophytes (indentation)

image Large anterior cervical osteophytes can impinge on pharyngoesophageal junction, simulating cricopharyngeal achalasia
• Esophageal tumor

image Tumor at pharyngoesophageal junction may constrict lumen concentrically or eccentrically


• Usually just “poor timing” of cricopharyngeal contraction

image Due to “presbyesophagus” or other cause of dysmotility in most cases
• May occur as an isolated abnormality

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