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Medicine All India exam e1220d41

A lady presented with nonprogressive dysphagia only for solids. Barium study showed proximal esophageal dilatation with distal constriction. The most likely diagnosis is

A
Peptic Stricture
B
Carcinoma esophagus
C
Achalasia Cardia
D
Lower esophageal Ring
High-Yield Explanation
Lower esophageal ring or schatzki ring or type B ring is seen in the distal esophagus at the squamocolumnar junction demonstrable in 15% of the people and are usually asymptomatic.When the diameter is less than 13mm, it causes episodic solid food dysphagia.The dysphagia is otherwise called as steakhouse syndrome.(Ref: Harrison's 18/e p2429)

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