Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 4: A Benign Form Of Progressive Dysphagia (continued)

Eun Ji Shin, MD

A 46-year-old man presented to clinic with an 11-month history of progressive dysphagia. The patient was in his usual state of health when he noticed mild dysphagia to large vitamin pills only. Over the next 6 months, he noticed that solid food was “getting stuck” in his throat necessitating repeated swallowing motions to help the food pass. He reported no acid reflux, heartburn, or regurgitation symptoms. He sought medical attention at his local hospital for these complaints. A barium swallow study showed a stricture approximately 3 to 4 cm above the gastroesophageal (GE)…