Presentation
Chest pain and dysphagia.
Patient Data
Age: 60 years
Gender: Female
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Dilatation with distal tapering of the esophageal lumen and transient marginal irregularity due to peristalsis suggests an early stage of achalasia, also known as vigorous achalasia.
The stomach, bulb and duodenum appear normal.
Case Discussion
Findings in the upper GI series highly suggest vigorous achalasia, which refers to repetitive simultaneous non-propulsive contractions of the esophagus with incomplete or absent relaxation of the lower oesophagal sphincter. This is an early and less severe form of achalasia.
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