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. 1992 Oct;33(10):1421–1423. doi: 10.1136/gut.33.10.1421

Familial coexistence of achalasia and non-achalasic oesophageal dysmotility: evidence for a common pathogenesis.

C J O'Brien 1, H L Smart 1
PMCID: PMC1379617  PMID: 1446873

Abstract

In five of seven siblings of healthy parents, dysphagia developed during adolescence or early adult life. A barium swallow was normal in one patient but showed appearances considered to be consistent with achalasia in all others. Oesophageal manometry was successfully performed in four of the five patients, including the patient with symptoms but normal radiological appearance. One patient had achalasia, two had oesophageal body motor dysfunction associated with a hypertensive, but normally relaxing lower oesophageal sphincter, and one had diffuse oesophageal spasm alone. The occurrence of three different oesophageal dysmotility disorders within members of a single sibship suggests that these conditions are intimately related and probably genetically determined as an autosomal recessive trait.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Badrawy R., Abou-Bieh A. Congenital achalasia of the oesophagus in children. J Laryngol Otol. 1975 Jul;89(7):697–706. doi: 10.1017/s0022215100080919. [DOI] [PubMed] [Google Scholar]
  2. Bosher L. P., Shaw A. Achalasia in siblings. Clinical and genetic aspects. Am J Dis Child. 1981 Aug;135(8):709–710. doi: 10.1001/archpedi.1981.02130320023007. [DOI] [PubMed] [Google Scholar]
  3. Dayalan N., Chettur L., Ramakrishnan M. S. Achalasia of the cardia in sibs. Arch Dis Child. 1972 Feb;47(251):115–118. doi: 10.1136/adc.47.251.115. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Frieling T., Berges W., Borchard F., Lübke H. J., Enck P., Wienbeck M. Family occurrence of achalasia and diffuse spasm of the oesophagus. Gut. 1988 Nov;29(11):1595–1602. doi: 10.1136/gut.29.11.1595. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Kaye M. D., Demeules J. E. Achalasia and diffuse oesophageal spasm in siblings. Gut. 1979 Sep;20(9):811–814. doi: 10.1136/gut.20.9.811. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Khalifa M. M. Familial achalasia, microcephaly, and mental retardation. Case report and review of literature. Clin Pediatr (Phila) 1988 Oct;27(10):509–512. doi: 10.1177/000992288802701009. [DOI] [PubMed] [Google Scholar]
  7. London F. A., Raab D. E., Fuller J. Achalasia in three siblings: a rare occurrence. Mayo Clin Proc. 1977 Feb;52(2):97–100. [PubMed] [Google Scholar]
  8. Mayberry J. F., Atkinson M. A study of swallowing difficulties in first degree relatives of patients with achalasia. Thorax. 1985 May;40(5):391–393. doi: 10.1136/thx.40.5.391. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Mayberry J. F., Atkinson M. Variations in the prevalence of achalasia in Great Britain and Ireland: an epidemiological study based on hospital admissions. Q J Med. 1987 Jan;62(237):67–74. [PubMed] [Google Scholar]
  10. NAGLER R. W., SCHWARTZ R. D., STAHL W. M., Jr, SPIRO H. M. ACHALASIA IN FRATERNAL TWINS. Ann Intern Med. 1963 Dec;59:906–910. doi: 10.7326/0003-4819-59-6-906. [DOI] [PubMed] [Google Scholar]
  11. Rozycki D. L., Ruben R. J., Rapin I., Spiro A. J. Autosomal recessive deafnessassociated with short stature, vitiligo, muscle wasting and achalasia. Arch Otolaryngol. 1971 Feb;93(2):194–197. doi: 10.1001/archotol.1971.00770060280016. [DOI] [PubMed] [Google Scholar]
  12. Sanderson D. R., Ellis F. H., Jr, Schlegel J. F., Olsen A. M. Syndrome of vigorous achalasia: Clinical and physiologic observations. Dis Chest. 1967 Oct;52(4):508–517. doi: 10.1378/chest.52.4.508. [DOI] [PubMed] [Google Scholar]
  13. Stein D. T., Knauer C. M. Achalasia in monozygotic twins. Dig Dis Sci. 1982 Jul;27(7):636–640. doi: 10.1007/BF01297220. [DOI] [PubMed] [Google Scholar]
  14. Stoddard C. J., Johnson A. G. Achalasia in siblings. Br J Surg. 1982 Feb;69(2):84–85. doi: 10.1002/bjs.1800690209. [DOI] [PubMed] [Google Scholar]
  15. Tryhus M. R., Davis M., Griffith J. K., Ablin D. S., Gogel H. K. Familial achalasia in two siblings: significance of possible hereditary role. J Pediatr Surg. 1989 Mar;24(3):292–295. doi: 10.1016/s0022-3468(89)80016-8. [DOI] [PubMed] [Google Scholar]
  16. Westley C. R., Herbst J. J., Goldman S., Wiser W. C. Infantile achalasia; inherited as an autosomal recessive disorder. J Pediatr. 1975 Aug;87(2):243–246. doi: 10.1016/s0022-3476(75)80593-2. [DOI] [PubMed] [Google Scholar]
  17. Zimmerman F. H., Rosensweig N. S. Achalasia in a father and son. Am J Gastroenterol. 1984 Jul;79(7):506–508. [PubMed] [Google Scholar]

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