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• Goal: palliative and directed at removing the functional obstruction at the LES
• Pharmacologic: • Nitrates (Isosorbide dinitrate 5-10 mg SL 30 minutes AC), acts in 15 min, last 90 mi
COMPLICATIONS: • • Esophageal cancer risk 2-7% Mean interval between diagnosis and cancer: 17 yrs • Most are squamous cell type .