Gaurang Nandkishor Vaidya, Rushikesh Shah, and Phillip Aleksiejuk
A young male with achalasia underwent laparoscopic Heller’s cardiomyotomy but two years later he presents again with the same symptoms. These symptoms in our very young patient do affect his quality of life but the available invasive treatment options are only palliative and aimed at relieving the severe symptoms only. With this case presentation, an effort is made to highlight the unpredictability of the available treatment options in terms of long-term outcome and the degree of improvement in a patient’s quality of life. There is a dire need to better understand the pathophysiology of this condition in order to extrapolate this knowledge to better preventive and curative strategies. This case report also includes an extensive review of articles hypothesizing the etiology of achalasia.