05/03/2024
A 65 year old woman presents with
dysphagia and intermittent vomiting.
Endoscopy shows a tight lower oesophageal
sphincter suggestive of achalasia.
Which of the following medical therapies is
most effective?
1- Diltiazem
2- Bismuth
3- Glyceryl trinitrate
4- Botulinum toxin
5- Glypressin