Question:
A 32-year-old male presents with dysphagia and regurgitation. A barium swallow image is shown. Which investigation is considered the gold standard for confirming the diagnosis?
A 32-year-old male presents with dysphagia and regurgitation. A barium swallow image is shown. Which investigation is considered the gold standard for confirming the diagnosis?
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Achalasia: barium swallow shows bird-beak appearance, but gold standard test is esophageal manometry.
Updated On: May 14, 2026
- CECT
- Esophageal manometry
- Endoscopy
- NCCT
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The Correct Option is B
Solution and Explanation
Concept:
Dysphagia with regurgitation and a typical barium swallow finding suggests achalasia cardia. The gold standard investigation for confirming achalasia is esophageal manometry.
Step 1: Identify symptoms.
The patient has: \[ \text{Dysphagia + regurgitation} \] This suggests an esophageal motility disorder.
Step 2: Connect with barium swallow.
Achalasia classically shows a bird-beak appearance on barium swallow.
Step 3: Recall gold standard test.
The gold standard investigation for achalasia is: \[ \text{Esophageal manometry} \] Therefore, the correct answer is Esophageal manometry.
Step 1: Identify symptoms.
The patient has: \[ \text{Dysphagia + regurgitation} \] This suggests an esophageal motility disorder.
Step 2: Connect with barium swallow.
Achalasia classically shows a bird-beak appearance on barium swallow.
Step 3: Recall gold standard test.
The gold standard investigation for achalasia is: \[ \text{Esophageal manometry} \] Therefore, the correct answer is Esophageal manometry.
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