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This case also illustrates the therapeutic dilemma if surgery fails in patients with achalasia .
The symptoms of achalasia are usually very characteristic.
The diagnostic studies confirmed the initial impression that the patient has an esophageal motility disorder, demonstrating classical findings of achalasia .
Patients with achalasia typically present with dysphagia to solids and liquids.
If endoscopy shows no obvious abnormality a diagnosis of a primary motility disturbance of the oesophagus such as achalasia should be considered.
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