Systemic sclerosis (scleroderma).
In this patient with known systemic sclerosis, the barium swallow shows moderate esophageal dilatation; there is almost complete loss of peristalsis, but, unlike achalasia, the esophagogastric junction is seen to be wide open and, in the recumbent position, there is marked gastro-esophageal reflux. In patients in whom gastro-esophageal reflux results in a peptic stricture, the radiological findings may resemble achalasia.
Download this image
PC users: right-click on the image and choose 'Save Picture/Image As' from the popup menu.
Mac users: click and hold down over the image and choose 'Save This Image As' from the popup menu.
Submit your images
Play a part in the GastroHep.com community by publishing your important images in the Slide Atlas. We're looking for high quality images in gastroenterology, hepatology or endoscopy.