,ADDENDUM: , The patient was examined by Dr. Y, gastroenterologist, who ordered a CAT scan with oral contrast, which showed persistent distention of the esophagus with elementary debris within the lumen of the esophagus. 
,ADDENDUM : , The patient was examined by Dr. Y , gastroenterologist , who ordered a CAT scan with oral contrast , which showed persistent distention of the esophagus with elementary debris within the lumen of the esophagus .