Double, crycopharyngeal and cardial achalasia in a patient

Achalasia is a primary esophageal motor disorder characterized by degenerative changes of the myenteric plexus. The pathophysiology of the motor abnormalities is not well understood. We describe a case of a 85-year-old woman. She has suffered from progressive symptoms of dysphagia for liquid and solid foods and aspiration for the previous 6 months, she has lost 22kg of weight during this period. Because of the entire unable of swallowing, PEG implantation has been made in another institute. In our Hospital endoscopy showed esophageal mycosis, barium swallow examination suggested Zenker diverticula's suspicion. O…