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Surgery General ffe3a5b3

A 70 year old patient comes with symptoms of achalasia from 3 months. Radiologic features and manometric studies show the typical features of achalasia. What is the next step

A
CT scan
B
Heller's myotomy
C
Nissens fundoplication
D
24 hour ph monitoring
High-Yield Explanation
This might be the case of pseudo achalasia. It is suspected when Patient older than 60 Dysphagia less than 6 months Excessive weight loss Sometimes infiltrating tumor at gastroesophageal junction will mimic achalasia symptoms and manometric studies. To rule out tumor CT scan must be done

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