DIFFUSE ESOPHAGEAL SPASM

DIFFUSE ESOPHAGEAL SPASM


  • It is DISTAL ESOPHAGEAL SPASM
  • It is a condition characterized by uncoordinated contractions of esophagus which leads to spasm of esophagus that cause ISCHAEMIA



CLINICAL FEATURES:

  1. Chest pain
  2. Dysphagia


IOC - MANOMETRY



Cork screw / Rosary bead / Pseudo diverticula appearance

MANAGEMENT:

 Calcium channel blockers and Nitrates - Mainly Medical Management

surgery- Esophagomyotomy  done for reserved cases not responding to medical management

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