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The Differential of Progressive Solid Food Dysphagia
In this case, it was progressive solid food dysphagia. You really need to do the endosophy to look for that. I would not waste time on a PPI trial. It would be reasonable to do it after the endoscopy. Do the endoscopic features of EOE. Then finally, we think of the usual structural or mechanical issues like peptic stricture and shotskeering. Those are the big buckets.