Dysphagia, or difficulty swallowing, can be quite distressful to a patient of any age. The history and physical exam may help identify Physiologic or anatomic causes. One must also determine whether a neurologic process has occurred and disrupted the swallowing mechanism; for example, a patient may have new onset aspiration during an attempt to initiate swallowing or may have lost the gag reflex as after a recent stroke.
KeywordsLower Esophageal Sphincter Heller Myotomy Epiphrenic Diverticulum Recent Stroke Esophageal Myotomy
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