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Dysphagia: revisiting investigations
  1. Yong Sul Kim1,
  2. Ross Hansen1,2,
  3. May YW Wong1,2
  1. 1 Royal North Shore Hospital, St Leonards, New South Wales, Australia
  2. 2 The University of Sydney, Sydney, New South Wales, Australia
  1. Correspondence to Dr Yong Sul Kim, Royal North Shore Hospital, St Leonards, New South Wales, Australia; Yong_Kim_94{at}

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Case presentation

A 63-year-old man with a 3-month history of progressively worsening dysphagia to solids and liquids and a weight loss of 20 kg was referred following high-resolution manometry (HRM). He was only able to tolerate moderately thick liquids. There was no history of abdominal pain, chest pain, heartburn or night sweats. He had no medical history of GI reflux or chronic alcohol abuse however he was an ex-smoker with a 40-pack year history. He had a brother with a diagnosis of pancreatic cancer at the age of 60. On examination, his vital signs were stable, and his abdomen was soft and flat without tenderness.

Laboratory tests revealed a normal haemoglobin, white cell count and ferritin. The patient had a gastroscopy demonstrating …

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  • Correction notice This article has been corrected since it published Online First. The order of authors has been corrected and figure legends amended.

  • Contributors YSK collected data, history and investigation findings to formulate a manuscript. MW critically reviewed and edited case report, collected investigation results, provided and cared for the patient of the case report. RH critically reviewed and edited case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting or dissemination plans of this research.

  • Provenance and peer review Not commissioned; externally peer reviewed.