study_ing
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a manometry is regarded as the diagnostic study whilst esophagoscopy is reqd to r out maligancy. m y question is that do we need a biopsy for confirmation or not? once we have the manometry results can the pt be treatred accordingly? also y isnt a biopsy showing a lack of ganglionic neurons THE diagnostic test ( and the only way to get it wud be a esophagoscopy)?
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| tolito
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i dont think we need a biopsy to diagnose achalasia. THE test is manometry. at esophagoscopy which is done to rule out cancer (cos achalasia is premalig), a biopsy can be taken and at same sitting, the dilatation is carried out.
i will look it up more.
http://72.14.203.104/search?q=cache:CmItm7cdVxYJ:...
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| study_ing
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http://www.cag-acg.org/guidelines/Pdf/cockeram.pd...
this struck me as i tot LES was the main problem
dx of achalsia..
REQUIRED Features
--Esophageal body –lack of peristalsis
sometimes present
Incomplete LES relaxation
Elevated LES pressure
(>45 mmHg)
Elevated intraesophageal
pressure
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