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50559 Pathology

A 30-year-old man consults a physician because he has been having increasing difficulty in swallowing both solids and liquids. Physical examination of the patient is noncontributory. Barium swallow studies show a mostly dilated esophagus with slow passage of barium into the stomach. The very distal pa of the esophagus appears narrowed into a “bird’s beak.” Esophageal manometry shows incomplete relaxation of the lower esophageal sphincter in response to swallowing, high resting lower esophageal pressure, and absent esophageal peristalsis. This patient’s condition is MOST likely due to which of the following?

AAcid reflux
BCancerous destruction
CCandida infection
DLack of ganglion cells
Pathology
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