من طرف Dr.Nasser Alkhalaf السبت أغسطس 07, 2010 2:30 pm
A 45-year-old male presents with the complaint of difficulty swallowing both liquids and solids, which was mild initially but has worsened gradually. He also complains of nocturnal cough, which disturbs his sleep as well as regurgitation of undigested food eaten several hours earlier. Physical examination is unrevealing.Barium studies are performed which shows dilated esophagus, loss of esophageal peristalsis, and smooth tapering of the distal esophagus.What will be the most appropriate next step in the management of this patient?
a-Esophagoscopy
b-Esophageal manometry
c-Esophageal PH monitoring
d-Botulinum toxin ingestion
e-Pneumatic dilation
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