Isolated Hypertensive Lower Esophageal Sphincter: Treatment of a Resistant Case by Pneumatic Dilatation

Abstract

ABSTRACT

We describe a patient with dysphagia and chest pain, whose sole esophageal manometric abnormality was an elevated lower esophageal sphincter pressure. A radionuclide esophageal emptying test showed prolongation of emptying. After bougienage and medications failed to give relief, pneumatic dilatation gave excellent subjective and objective results.