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Achalasia (Presentation (Dysphagia to liquids then solids, Retrosternal…
Achalasia
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Image
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Significant negative: apple-core stricture suggestive of
oesophageal SCC.
Occurs in ~3% of pts w/ achalasia
Mx
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Int: botox injection, endoscopic balloon dilatation
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Oesophageal Cancer
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Image
Irregular, shouldered stricture of the oesophagus
An “apple-core” lesion
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Ix
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Staging: CT, EUS, laparoscopy, mediastinoscopy