A 13-year-old boy presents to the pediatrics office with a feeling of heartburn during and after meals and occasional dysphagia, which increases with the ingestion of solid foods such as meat. In the family history, his mother is diagnosed with hiatal hernia. In the personal history she refers to allergy to pollens, mites and latex. Physical examination shows no significant findings except for eczematous lesions in the popliteal and antecubital hollows. Which of the following complementary tests would you NOT perform according to the most probable diagnoses?
We are being presented with a case of eosinophilic esophagitis (adolescent male, with heartburn and dysphagia, and a history of atopic dermatitis). Of all the tests proposed to us, the least indicated in this case would be option 3.
Upper gastrointestinal endoscopy.
Esophageal pHmetry of 24 hours.
Carbon 13 breath test for Helicobacter pylori.
Esophago-gastro-duodenal barium study.
We are being presented with a case of eosinophilic esophagitis (adolescent male, with heartburn and dysphagia, and a history of atopic dermatitis). Of all the tests proposed to us, the least indicated in this case would be option 3.