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Case Presentation and Evolution
A 42 year-old previously healthy man was admitted to Stanford University hospital because of severe nausea and vomiting. He had been well until 3 weeks before admission, when he first experienced nausea, vomiting, and profound sweating without chills or fever, lasting up to 24 h. The symptoms became progressively worse and occurred with any oral intake of solids or liquids. He also noted the sensation of food being stuck in his throat despite swallowing small bites.
An upper endoscopy that had been performed at another hospital showed a small hiatal hernia, antral and gastric body erythema, and gastric food retention. At that time, an abdomen CT scan revealed mild bowel wall thickening in the distal ileum. His symptoms had gradually improved and he was discharged. However, soon thereafter, his symptoms worsened to the point that he could no longer tolerate either solids or liquids and he was admitted to Stanford hospital. In the course of the three weeks...
KeywordsAchalasia Lower Esophageal Sphincter Gastroparesis Gastrointestinal Dysmotility Intestinal Dysmotility
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