Case List History Objectives Radiology Images Questions ESOPHAGUS, STOMACH, AND DUODENUM Case #7 - A 42 year old woman presents with dysphagia DISCUSSION QUESTIONS: 7.) What management may be recommended to this patient? Management should relieve the obstruction and decrease the lower esophageal sphincter pressure. Although partial and short-term relief can be obtained with drugs or Botulinum toxin injections, long-term relief is obtained by balloon dilatation or by surgery. The surgical procedure is a myotomy, disrupting muscle fibers in the distal esophagus.
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