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Surgery General 3ed59376

In achalasia cardia, true is -

A
Pressure at distal end increased with no peristalsis
B
Low pressure at LES with no peristalsis
C
Pressure > 50 mm Hg with peristalsis
D
Pressure at the distal end increased with normal relaxation
High-Yield Explanation
The pressure is elevated at LES with incomplete relaxation on deglutition. The normal pressure of LES is 13.8 ±4.6 of Hg. In Achlasia it increases to twice normal. Also know Hypertensive Lower esophageal sphincter is another motor disorder distinct from Achalsia here the LES pressure is elevated but it relaxes normally. Peristalsis in the esophageal body is also normal.

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