Medical MCQ-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

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

CT scan

Heller's myotomy

Nissens fundoplication

24 hour ph monitoring

Question Category:

Surgery

Correct Answer:

CT scan

Description:

This might be the case of pseudo achalasia. It is suspected whenPatient older than 60 Dysphagia less than 6 months Excessive weight lossSometimes infiltrating tumor at gastroesophageal junction will mimic achalasia symptoms and manometric studies. To rule out tumor CT scan must be done

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