endoscopic demostration of a case of #achalasia

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3 May 2021

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A 84-year-old woman presented with repeated vomiting, dysphagia, and weight loss. The patient underwent upper digestive endoscopy, the scope revealed a tight lower esophageal sphincter and dilated esophagus with retained fluids and food. You can notice that the scope passed the cardia with difficulty and causing a laceration to the lower esophageal mucosa. What are your lines of treatment?

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