Dysphagia to solds & liquids (551/1700)

A 40yo woman complains of dysphagia for both solids and liquids. She sometimes suffers from
severe retrosternal chest pain. Barium swallow reveals a dilated esophagus which tapers to a
fine distal end. What is the best management strategy?
a. Reassurance
b. Antispasmodics
c. Dilatation of the LES
d. Endoscopic diverticulectomy
e. Barium swallow










































answer: C
dx: achalasia