03 women 62 yo, 41 yo and 27 yo with disphagia were detected as abdominal ultrasound, barium swallow, and endoscopic upper GI diagnostics and managements as ballooned dilatation.
Ultrasound revealed dilated 1/3 lower part of the esophagus which terminated at the cardia of the stomach. And its existed not any tumor outside nor tumor of the gastric wall. It appeared like the bird beck sign of the barium swallow on the XRay films.
One patient (case 01) relapsed after 4 months managed esophagial dilatation by balloon.
CASE 01: A 61 year-old in malnutrition as achalasia with dilatation from the neck to upper part of the stomach.
Barium swallow images post 4 months achalasia ballonned showed relapsed achalasia.
CASE 02: Woman 41 year-old with nausea, lost of weight due to achalasia.
CASE 03: Girl 27 year-old with dysphagia one year as achalasia.