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HardGastroenterologyAchalasiamrcp part 1ukmlapane

A 58-year-old man presents with dysphagia (difficulty swallowing) affecting both solids and liquids from the onset. He also reports regurgitation of undigested food and nocturnal coughing. Barium swallow shows a dilated oesophagus tapering smoothly at the lower end ('bird's beak' appearance). What is the most likely diagnosis?

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