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A Holistic Approach to Diagnosing and Treating Dysphagia

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Abstract

We report a 39-year-old Native American female with an almost 20-year history of dysphagia that had increased in the 6 months prior to the initial evaluation. Investigation revealed a number of distinct esophageal disorders including Plummer–Vinson syndrome, gastroesophageal reflux disease with esophagitis, distal esophageal stricture, esophageal intramural pseudo-diverticulosis, and recurrent esophageal Candida infections. Although prolonged therapy with proton pump inhibitors, fluconazole, nystatin, and repeated esophageal balloon dilations relieved her symptoms, her prognosis remains uncertain.

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Authors and Affiliations

  1. Division of Gastroenterology and Hepatology, University of New Mexico School of Medicine, MSC 10-5550, Albuquerque, NM, 87131, USA

    Diego Colom Steele, Chinemerem Okwara & Denis McCarthy

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  1. Diego Colom Steele
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  2. Chinemerem Okwara
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  3. Denis McCarthy
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Correspondence to Diego Colom Steele.

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Colom Steele, D., Okwara, C. & McCarthy, D. A Holistic Approach to Diagnosing and Treating Dysphagia. Dig Dis Sci 65, 957–960 (2020). https://doi.org/10.1007/s10620-020-06107-7

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  • DOI: https://doi.org/10.1007/s10620-020-06107-7

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