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A 50 year old man complains of dysphagia after eating bread. Barium swallow reveals a lower esophageal ring. What is the most appropriate treatment?

waelhammad
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2022-10-30
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A 50 year old man complains of dysphagia after eating bread. Barium swallow reveals a lower esophageal ring. What is the most appropriate treatment?

  1. Reassurance
  2. Antispasmodics
  3. Dilatation of the LES (lower oesophafeal sphincter)
  4. Endoscopic diverticulectomy
  5. I&D (incision and drainage)
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waelhammad
2022-10-30
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The key is C. Dilatation of the LES. [Patients with recurrent symptoms from esophageal rings and webs require repeat esophageal dilation. Repeat esophageal dilation is safe and can relieve symptoms in the long term].

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