A 43-Year-Old Man Is Evaluated for Retrosternal Discomfort and Dysphagia

A 43-year-old man is evaluated for retrosternal discomfort and dysphagia for the past several months.  He smokes a pack of cigarettes daily and drinks alcohol on weekends.  His BMI is 32.8 kg/m².  Physical examination is unremarkable.  Esophageal manometry is performed; after a single swallow of 5 mL of water, the tracings appear as shown in the image below. Which of the following is the most likely diagnosis in this patient?

A) Achalasia
B) Cricopharyngeal dysfunction
C) Diffuse esophageal spasm
D) Esophageal stricture
E) Systemic sclerosis

Correct Answer:

Verified

Unlock this answer now
Get Access to more Verified Answers free of charge

Access For Free