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A 78-Year-Old Man With Difficulty Swallowing
Ikuo Hirano, Peter J. Kahrilas Clinical Gastroenterology and Hepatology Volume 9, Issue 6, Pages (June 2011) DOI: /j.cgh Copyright © 2011 AGA Institute Terms and Conditions
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Figure 1 High-resolution esophageal pressure topography focusing on UES during 5-mL water swallow. (A) UES profile in patient with symptomatic CP bar demonstrating short sphincter relaxation and elevated intrabolus pressure within and proximal to UES. (B) Pressure topography study of same patient after esophageal dilation. Although still abnormal, there is an obvious improvement in UES opening, resulting in reduction of hypopharyngeal intrabolus pressure. Clinical Gastroenterology and Hepatology 2011 9, DOI: ( /j.cgh ) Copyright © 2011 AGA Institute Terms and Conditions
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Figure 2 Still image from cine esophagogram demonstrating a prominent CP bar. The bar is seen as a posterior impression arising at the level of the C5-C6 vertebral bodies. Clinical Gastroenterology and Hepatology 2011 9, DOI: ( /j.cgh ) Copyright © 2011 AGA Institute Terms and Conditions
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Figure 3 Suggested sequence of diagnostic evaluation for dysphagia in adults, along with likely yield from each evaluation. PPI, proton pump inhibitor. *Denotes steps that might be bypassed when history or endoscopic findings support diagnosis of primary esophageal motility disorder. Clinical Gastroenterology and Hepatology 2011 9, DOI: ( /j.cgh ) Copyright © 2011 AGA Institute Terms and Conditions
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Figure 4 Mechanistic categorization of dysphagia. Listed in each category are the major diagnostic entities encountered in adults. ENT, ear, nose, and throat. Clinical Gastroenterology and Hepatology 2011 9, DOI: ( /j.cgh ) Copyright © 2011 AGA Institute Terms and Conditions
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