A patient with a history of GERD returns to his GI physician for a follow-up visit to assess the results of having been on Dexilant for 6 months, which proved to be of minimal to no relief. Following a diagnostic EGD, the physician determined that the patient’s condition had worsened and a diagnosis of reflux esophagitis was made, which was complicated by esophageal motility issues including peristaltic sequences of very high amplitude with simultaneous esophageal contractions, causing severe chest pain. In addition to the EGD, an esophageal motility study (measurement) was done. A catheter was placed in the mouth and guided into the stomach. As the catheter was withdrawn, pressure changes were noted.
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