A 40 year old woman complains of dysphagia for both solids and liquids

A 40 year old woman complains of dysphagia for both solids and liquids. She sometimes suffers from severe retrosternal chest pain. Barium swallow reveals a dilated esophagus which tapers to a fine distal end. What is the best management strategy?

  • a. Reassurance
  • b. Antispasmodics
  • c. Dilatation of the LES
  • d. Endoscopic diverticulectomy
  • e. Barium swallow

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