The blockage remained overnight and so the following day he underwent an oesophagoscopy under general anaesthetic.
2.
Endoscopy is close to 100 % sensitive for the detection of this disease 18 It is important to us a methodical approach to gastro-oesophagoscopy; always start by advancing the scope to the stomach, retroflex the scope completely and check the inner cardiac sphincter for masses.
3.
Secondly, when doing oesophagoscopy, consider that you may not ( a ) have video-recoding facilities and ( b ) you may need to rescope to assess response to treatment, particularly if this isn t a good resolution of symptoms, and you may need to check for neoplastic transformation ( evidence as ulceration and necrosis of the mass ).
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