Diffuse esophageal spasm natural history, complications and prognosis

Diffuse esophageal spasm Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Madhu Sigdel M.B.B.S.[2]

Overview

If left untreated, most patients remain asymptomatic over the course of time. Very few cases report progression to Achalasia and nut cracker esophagus.

Natural History, Complications, and Prognosis

Natural History

• DES is generally non-progressive, if left untreated there are very few case reports of progression to Achalasia and nut cracker esophagus.

Complications

• Common complications of DES include:
  • Achalasia
  • Nut cracker esophagus

Prognosis

• Prognosis is generally excellent and the disease has no mortality recorded.