Chalasia cardia (chalasia cardiae; Greek chalasis relaxation; synonym: gaping of the cardia, cardia insufficiency) is a disease characterized by impaired relaxation of the lower esophageal sphincter and atony of the esophageal muscles.
With chalazia cardia, the lower third of the esophagus expands and lengthens. The sphincter of the cardia does not relax during swallowing, which makes it difficult for food to move from the esophagus to the stomach. In addition, the peristalsis of the esophagus is disrupted, and its muscle tissue atrophies.
The main symptoms of chalazia cardia include: dysphagia (difficulty swallowing), chest pain, regurgitation (return) of food into the oral cavity, heartburn. The diagnosis is made based on data from esophagogastroduodenoscopy, radiography of the esophagus, and manometry of the esophagus.
Treatment of chalazia cardia includes drug therapy, endoscopic interventions, and surgery. The prognosis with timely treatment is usually favorable. However, without treatment, the disease may progress and complications may develop.
Chalazia cardia
Chalazia (Greek chaos - “disorder”) is a disease of the esophagus (the channel through which food enters the stomach), which is characterized by expansion of its muscular walls with a gradual lowering of the lower part of the esophagus and expansion of the outlet - the so-called “gaping”.
Syn., as stated above - gaping cardia.
Initially, a deficiency of the cardiac obturator sphincter occurs as a result of prolonged reflux of gastric contents into the lower thoracic esophagus. When the lower part of the esophagus or cardia, which connects the esophagus through a narrowed anatomical structure - the cardiac notch (chicken tail), does not close completely, which causes the reflux of food back into the esophagus. This fluid usually tastes sour or contains acids that irritate the esophagus, causing it to dilate further. Over time, chronic irritation causes inflammation and scarring to develop. Subsequently, along with excessive relaxation of the esophageal opening of the esophagus, the esophageal opening itself enlarges. This process may continue until the cardia dilates enough to become a functional abnormality called dehiscence, where vomiting begins from the lower part of the esophagus instead of the stomach. This cardiac valve insufficiency is called chalasia cardia or cardiac valve insufficiency.
Many children are affected by reflux regardless
Name: Chalazia cardia
Introduction - What is Chalazia cardia Chalazia or cardia gape is a pathological condition in which the ability of the lower esophageal sphincter (LES) and cardia (stomach opening) to close is impaired. The LES and cardia are the two main sphincters that control the exit of the contents of the stomach and esophagus. In chalazia, the cardia cannot close effectively, causing stomach contents to leak into the esophagus and cause discomfort.
Causes of chalazia cardia - The main causes of chalazia cardia include: - Hiatal hernia