In the ethiological investigation of dysphagia, a mechanical obstruction in the esophageal tube of benign or a malign origin is almost always observed. However, a motor disorder must be considered in the absence of these findings. Hypertensive lower esophageal sphincter (HLES) is a type of motor disorder characterized by high pressure in the lower esophagus sphincter (LES) presenting a value hi...

BACKGROUND Treatment of achalasia is focused on decreasing the resting lower esophageal sphincter by either pneumatic dilation or surgical myotomy. When patients symptomatically relapse after one or more pneumatic dilations, then one explanation is to consider the possibility of pseudoachalasia as the diagnosis. CASE REPORT We present a rare case of an elderly patient with a presentation of c...

Achalasia cardia, a primary esophageal motility disorder of unknown etiology involving lower twothird of esophagus and lower esophageal sphincter (LES), can be specifically diagnosed by gold standard method, manometry, which shows abnormal LES relaxation and absent or vigorous peristalsis. In our study, 125 patients were admitted with dysphagia, regurgitation of food, vomiting, chest pain, retr...

Leiomyoma is a rare esophageal tumor that constitutes less than 1% of esophageal malignancies. It should be removed when diagnosed even if asymptomatic. This study presents two cases of esophageal leiomyoma in 38 and 62 years old men who presented with dysphagia and evaluated for diagnosis and location of related tumors. Patients were clinically examined and upper gastrointestinal endoscopy, ch...

Although the association of celiac disease with esophageal web has been reported earlier, in this case patient presented with persistent dysphagia. Upper gastrointestinal endoscopy revealed multiple esophageal webs which were recurring despite endoscopic dilatation. Diagnosis and treatment of underlying celiac disease led to long term improvement.

Complete esophageal stenosis secondary to peptic stricture in the upper esophagus is rare. It is, however a serious medical problem that may require otolaryngologic intervention because of life-threatening dysphagia and weight loss. We report the case of an elderly patient who presented with an upper esophageal stricture, without the typical symptoms of gastroesophageal reflux disease, that pro...

Esophageal intramural pseudodiverticulosis (EIPD) is a rare condition often presenting with esophageal strictures. Treatment is often limited to endoscopic dilatation and treatment of the underlying esophageal pathology. We present a case of a patient with longstanding GERD on famotidine (she experienced anaphylaxis with proton pump inhibitors [PPIs]) who presented with dysphagia and weight los...

endoscopic gastrostomy (PEG) placement in the presence of a large pharyngeal pouch An 80-year-old man with a known benign lower esophageal stricture and pharyngeal pouch was admitted with a 2-week history of malaise, dysphagia, regurgitation, and weight loss. He had elected not to have the esophageal stricture dilated 3 years earlier. On this admission, the dysphagia persisted despite dilatatio...

Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) were developed for the treatment of benign lesions and early superficial esophageal cancers in the gastrointestinal (GI) tract. However, esophageal strictures frequently develop in patients who undergo EMR/ESD. Therefore, we aimed to investigate the clinical value of preventive balloon dilatation (BD) for esophageal d...

Plummer-Vinson syndrome (PVS) is the triad of iron-deficiency anemia, esophageal webs and dysphagia. This article discusses first reported case PVS from Oman. A female patient in her 40s presented with a one-year history dysphagia odynophagia known background untreated anemia. After an elaborate workup, diagnosis was made following visualization web barium swallow study esophagogastroduodenosco...