A 55yo woman complains of retrosternal chest pain and dysphagia which is intermittent and
unpredictable. The food suddenly sticks in the middle of the chest, but she can clear it with a
drink of water and then finish the meal without any further problem. A barium meal shows a
‘corkscrew esophagus’. What is the single most likely dysphagia?
a. Esophageal candidiasis
b. Esophageal carcinoma
c. Esophageal spasm
d. Pharyngeal pouch
e. Plummer-vinson syndrome
answer C:
Cork-screw appearance and intermittent dysphagia= DES