A 60-year old male pressents with progressive difficulty in swallowing, vomiting and occasional regurgitation for the past 3 months. Barium studies showed marked dilatation of the upper esophagus with narrowing of the lower segment. Manometry showed absent esophageal peristalsis. He woulld also present to clinician with
Recurrent chest infection Recurrent bleeding upper GI Recurrent colicky abdominal pain Esophageal perforation