[Long-term evolution of achalasia of the lower esophageal sphincter and intestinal paraneoplasic pseudo-obstruction revealing small cell lung carcinoma]

N Ceze; L D'Alteroche; L Picon; P Magro; C Monégier du Sorbier; E-H Metman

doi:10.1016/j.gcb.2007.12.007

[Long-term evolution of achalasia of the lower esophageal sphincter and intestinal paraneoplasic pseudo-obstruction revealing small cell lung carcinoma]

Gastroenterol Clin Biol. 2008 Jan;32(1 Pt. 1):56-8. doi: 10.1016/j.gcb.2007.12.007. Epub 2008 Mar 4.

[Article in French]

Authors

N Ceze¹, L D'Alteroche, L Picon, P Magro, C Monégier du Sorbier, E-H Metman

Affiliation

¹ Service d'hépatogastroentérologie, hôpital Trousseau, CHRU de Tours, avenue-de-la-République, 37170 Chambray-les-Tours, France.

PMID: 18341977
DOI: 10.1016/j.gcb.2007.12.007

Abstract

We report a case of a small cell carcinoma of the lung revealed by chronic intestinal pseudo-obstruction associated with achalasia of the lower esophageal sphincter. Tumoral remission was achieved for more than 21 months after chemoradiotherapy but this did not prevent the paraneoplasic syndrome from persisting and medical treatment was not successful in treating the intestinal pseudo-obstruction or the dysphagia, which was not improved by esophageal dilation.

Publication types

Case Reports
English Abstract

MeSH terms

Aged
Carcinoma, Small Cell / complications
Carcinoma, Small Cell / diagnosis*
Chronic Disease
Deglutition Disorders / diagnosis
Deglutition Disorders / etiology
ELAV Proteins / analysis
Esophageal Achalasia / diagnosis*
Esophageal Achalasia / etiology
Female
Follow-Up Studies
Humans
Intestinal Pseudo-Obstruction / diagnosis*
Intestinal Pseudo-Obstruction / etiology
Longitudinal Studies
Lung Neoplasms / complications
Lung Neoplasms / diagnosis*
Paraneoplastic Syndromes / diagnosis*
Paraneoplastic Syndromes / etiology

Substances

ELAV Proteins