A 60 year old woman presented to OPD with dysphagia. No history of weight loss or heartburn. No change in bowel habits. While doing endoscopy there is some difficulty passing through the useful investigation?
belongs to book: 1700 MCQ REVISED VERSION TOPIC WISE|DR. KHALID SAIFULLAH|4th EDITION| Chapter number:3| Question number:11
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The key is D. Esophageal manometry. [Diagnosis is achalasia. Characteristic manometric findings are: Lower esophageal sphincter (LES) fails to relax upon wet swallow (<75% relaxation) Pressure of LES <26 mm Hg is normal,>100 is considered achalasia, > 200 is nutcracker achalasia].
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