Question

A 65-year-old man presents with dysphagia to both solids and liquids from onset, and regurgitation of undigested food. A barium swallow shows a dilated oesophagus with a smooth tapering at the gastro-oesophageal junction ('bird's beak' appearance). What is the most likely diagnosis?

Accepted Answer

Achalasia

Answer

Oesophageal cancer

Answer

Gastro-oesophageal reflux disease (GORD)

Answer

Pharyngeal pouch (Zenker's diverticulum)

Answer

Eosinophilic oesophagitis

Practice question

A 65-year-old man presents with dysphagia to both solids and liquids from onset, and regurgitation of undigested food. A barium swallow shows a dilated oesophagus with a smooth tapering at the gastro-oesophageal junction ('bird's beak' appearance). What is the most likely diagnosis?