Case 353

Medical history

Male patient, 66 years old, from the region of Itabira, presents progressive dysphagia for 5 years, evolving with regurgitation, heartburn, tolerance for pasty food and liquids only, and involuntary weight loss of 10kg. The patient has a cardiac pacemaker and hypertension, with history of smoking (56 pack years) and alcoholism. Upper gastrointestinal endoscopy (UGIE): dilated esophagus, with high quantity of aspirable clear residue. Esophagogram with barium sulfate requested.


Considering the clinical and radiological findings, what is the most likely diagnosis? 

Test question

[UFT Medical Residency 2014 - Trauma and Vascular Surgery] Concerning the chagasic megaesophagus, we can affirm that:

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