A Difficult Swallow: An Elderly Patient’s Case

An 83-year-old woman presents with years of dysphagia to solids and liquids, regurgitation, and Chest Pain. Explore the diagnostic journey.

Achalasia


An 83-year-old woman presented to the gastroenterology clinic with dysphagia and regurgitation that occurred with every meal associated with postprandial chest pain. For several years she had difficulty swallowing both solids and liquids. Barium esophagram is shown. What is the diagnosis?

What is the most likely diagnosis?

Scleroderma
Esophageal stricture
Esophageal web
Esophageal carcinoma
Achalasia

Achalasia, Barium Esophagram, Dysphagia, Esophageal Manometry, Gastroenterology

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