A 60yo woman presented to OPD with dysphagia. No hx of weight loss or heartburn. No change
in bowel habits. While doing endoscopy there is some difficulty passing through the LES, but no
other abnormality is noted. What is the single most useful inv?
c. Esophageal biopsy
d. Esophageal manometry
e. Abdominal XR
Q. 1. What is the key?
Q. 2. What is the diagnosis?
Q. 3. What is the treatment.
D. esophageal manometry
Endoscopic balloon dilatation, botulinum toxin, CCB, Heller’s cardiomyotomy.