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: Chest pain 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