03-02-2005, 03:35 AM
33 y.male.2 -3 m.history of dificulty swaliowing .Can not eat,can not drink.Lost 10 kg. for 1 mounts.
Barium swallow =contrast material slowly passes in to the stomach.Manometry Incomplit relaxation of the LES in response to swolowing.
Which of the folowing Tx is use to block excitatory neurotransmitors in this condition?
1.Isosorbite dinitrate
2.Nifedipine
3.Botulin toxin
4.Pneumatic dilatation
5Laparoscopic Heller myotomy
6.Partial fundoplication
7.Ranitidin
8.Omeprazole
==========================================
Same patient .Next step :
1.Treatment
2.other test
==========================================
Same patient.Which of the drug options lower the pressure in smoot muscles of the vasels in LES?
Barium swallow =contrast material slowly passes in to the stomach.Manometry Incomplit relaxation of the LES in response to swolowing.
Which of the folowing Tx is use to block excitatory neurotransmitors in this condition?
1.Isosorbite dinitrate
2.Nifedipine
3.Botulin toxin
4.Pneumatic dilatation
5Laparoscopic Heller myotomy
6.Partial fundoplication
7.Ranitidin
8.Omeprazole
==========================================
Same patient .Next step :
1.Treatment
2.other test
==========================================
Same patient.Which of the drug options lower the pressure in smoot muscles of the vasels in LES?