A 70 year old patient comes with symptoms of achalasia from 3 months. Radiologic features and manometric studies show the typical features of achalasia. What is the next step
Correct Answer: CT scan
Description: This might be the case of pseudo achalasia. It is suspected when
Patient older than 60
Dysphagia less than 6 months
Excessive weight loss
Sometimes infiltrating tumor at gastroesophageal junction will mimic achalasia symptoms and manometric studies. To rule out tumor CT scan must be done
Category:
Surgery
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