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Transition from peristaltic esophageal contractions to diffuse esophageal spasm.
- Source :
-
Archives of internal medicine [Arch Intern Med] 1986 Sep; Vol. 146 (9), pp. 1844-6. - Publication Year :
- 1986
-
Abstract
- A patient with dysphagia and chest pain was shown by manometry to have high-amplitude peristaltic esophageal contractions (nutcracker esophagus). Worsening symptoms over the next two years led to the performance of repeated manometric studies, which showed diffuse esophageal spasm. This demonstration of a transition from nutcracker esophagus to diffuse esophageal spasm lends further support for consideration of the nutcracker esophagus as a manometric disorder associated with chest pain or dysphagia. Furthermore, it suggests a pathophysiologic relationship between the nutcracker esophagus, a disorder with preserved peristalsis, and diffuse esophageal spasm, the classic dysmotility considered to be of neurogenic origin.
Details
- Language :
- English
- ISSN :
- 0003-9926
- Volume :
- 146
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Archives of internal medicine
- Publication Type :
- Academic Journal
- Accession number :
- 3753128