A 47-year-old man presents with a feeling of food sticking in his throat that has gradually worsened over the past 5–7 years. He says he has dysphagia with solid food and liquids and often spits food back up undigested, along with a large amount of saliva. He has severe discomfort after eating large meals and has unintentionally lost about 6.8 kg over the past 3 years. He has substernal chest pain and cannot remember the last time he vomited. He has frequent hiccups.

He does not want to lose more weight and is interested in knowing what treatment option is available for him. *This Case Challenge is from the Editorial Team of Docplexus and is meant for educational purposes only. ##Disclaimer## The content provided on Docplexus is intended for educational purposes only. While we strive to ensure its accuracy, we make no warranties, explicit or implied, about the suitability, reliability,…