EDITOR'S QUIZ: GI SNAPSHOTS: A case of progressive dysphagia

Sica, G. S.; Sujendran, V.; Warren, B.; Maynard, N. D.
September 2005
Gut;Sep2005, Vol. 54 Issue 9, p1282
Academic Journal
The article presents a quiz related to the diagnosis of progressive dysphagia. It describes the case of a 56 year old man with a history of progressive dysphagia. Repeated biopsies had failed to prove malignancy. At this stage a computerized tomogram scan suggested a bulky tumor of the distal oesophagus with left gastric nodal enlargement. Repeated endoscopic biopsies again failed to confirm any neoplastic process. Narrowing of the lower oesophagus and gastro-oesophageal junction from a submucosal eccentric mass was shown at barium swallow; the dilated thick walled oesophagus had features compatible with achalasia.


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