A 41 year old gentleman presents with a dysphagia to both solids and liquids. He sometimes regurgitates his food. He has not lost any weight. You organise a barium swallow which reveals a dilated oesophagus with a narrowing at the end of the oesophagus. What is the most appropriate long term management of the most likely diagnosis?
- Balloon dilatation
- Oesophagectomy
- Botox Injection
- Isosorbide mononitrate
- Nifedipine
Explanation
The likely diagnosis is achalasia due to the history and barium swallow findings. The best option here for long term management is balloon dilatation. Nifedipine and ISMN have been used as medical management and there is some short term improvement with these.