Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 3: “When I Eat, Food Gets Stuck” (continued)

John Clarke, MD

A 57-year-old man presented to gastroenterology clinic with progressive dysphagia, weight loss, and failure to thrive occurring with increasing frequency over a period of 6 months. The patients literally commented, “When I eat, food gets stuck.” The subjective site of obstruction was in the lower chest at approximately the level of the xiphoid process. Symptoms occurred entirely with solid foods; the patient noted no problems with liquids, soups, or tuna fish. Frequent regurgitation after food intake was noted, usually with an undigested appearance. The patient denied chest pain…