How would you approach the treatment of a patient with solid food esophageal dysphagia and GERD without a detectable esophageal stricture on upper endoscopy?

Would empiric esophageal dilation exacerbate GERD physiology?

Answer from: at Community Practice

I would obtain a barium esophagram followed by high-resolution esophageal manometry and 48-hour esophageal pH testing.

Comments

at AhMCAnaheim Regional Medical Center
Timed or regular esophagogram.

at Fresno Gastroenterology
Presuming he does not have a condition that reduce...

at Spokane Gastroenterology
What is the sensitivity of EGD for detecting a "fu...

at The Oregon Clinic Gastroenterology East At Gateway
I am doing fewer empiric dilations. It's hard to d...