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High resolution esophageal manometry 4 years after initial examination. Aperistalsis of the whole esophageal body (A). Distal latency 4.6s (DL) (normative >4.5s). Poorly relaxing LES defined by an IRP4s of 21.4 mmHg (normative <17 mmHg in achalasia type III) and residual pressure of 8 mmHg (normative <8 mmHg). LES at the upper border of normal with 43 mmHg (normative 10–45 mmHg).
