Isolated hypertensive lower esophageal sphincter: treatment of a resistant case by pneumatic dilatation.

We describe a patient with dysphagia and chest pain, whose sole esophageal manometric abnormality was an elevated lower esophageal sphincter pressure. A radionuclide esophageal emptying test showed prolongation of emptying. After bougienage and medications failed to give relief, pneumatic dilatation gave excellent subjective and objective results.