Diffuse esophageal spasm guidelines for management: Difference between revisions
Jump to navigation
Jump to search
Madhu Sigdel (talk | contribs) No edit summary |
Madhu Sigdel (talk | contribs) No edit summary |
||
| (2 intermediate revisions by the same user not shown) | |||
| Line 2: | Line 2: | ||
{{familytree | | | C01 | | | | | | | | |C01=Chest pain}} | {{familytree | | | C01 | | | | | | | | |C01=Chest pain}} | ||
{{familytree | |,|-|^|-|.| | | | | | | |}} | {{familytree | |,|-|^|-|.| | | | | | | |}} | ||
{{familytree |boxstyle=text-align: left; | D01 | | D02 | | | | | |D01=• | {{familytree |boxstyle=text-align: left; | D01 | | D02 | | | | | |D01=• Effort induced<br> • Dyspnea<br> • Syncope<br>|D02=• Dysphagia<br>• Heartburn<br>|}} | ||
{{Family tree |!| | | |!| | | | | }} | {{Family tree |!| | | |!| | | | | }} | ||
{{Family tree | C01 ||!| | | | |C01= ECG and other cardiac work up|}} | {{Family tree | C01 ||!| | | | |C01= ECG and other cardiac work up|}} | ||
{{Family tree | | | | |!| | | | | }} | |||
{{Family tree | | || B01 | |B01= Esophageal manometry}} | {{Family tree | | || B01 | |B01= Esophageal manometry}} | ||
{{Family tree | | | | |!| | | | | }} | {{Family tree | | | | |!| | | | | }} | ||
| Line 24: | Line 25: | ||
{{Family tree | | |C01| | | | C02 |C01= Response| C02= No response}} | {{Family tree | | |C01| | | | C02 |C01= Response| C02= No response}} | ||
{{familytree | | | |!| | | | | | |!| }} | {{familytree | | | |!| | | | | | |!| }} | ||
{{familytree | | | F01 | | | | | | F02 |F01=Repeat Dilatation or Botox as needed|F02=Surgical consultation}} | {{familytree | | | F01 | | | | | | F02 |F01=Repeat Dilatation or Botox inj. as needed|F02=Surgical consultation}} | ||
{{Family tree/end}} | {{Family tree/end}} | ||
Latest revision as of 16:46, 20 November 2017
| Chest pain | |||||||||||||||||||||||||||||||||||||||||||||||
| • Effort induced • Dyspnea • Syncope | • Dysphagia • Heartburn | ||||||||||||||||||||||||||||||||||||||||||||||
| ECG and other cardiac work up | |||||||||||||||||||||||||||||||||||||||||||||||
| Esophageal manometry | |||||||||||||||||||||||||||||||||||||||||||||||
| Diffuse esophageal spasm(DES) | |||||||||||||||||||||||||||||||||||||||||||||||
| Esophageal pH | |||||||||||||||||||||||||||||||||||||||||||||||
| Normal | Abnormal | ||||||||||||||||||||||||||||||||||||||||||||||
| Primary DES | Secondary DES | ||||||||||||||||||||||||||||||||||||||||||||||
| Mild | Moderate/severe | ||||||||||||||||||||||||||||||||||||||||||||||
| Antispasmodics | Medical therapy of DES | ||||||||||||||||||||||||||||||||||||||||||||||
| Botox injection/esophageal dilatation | |||||||||||||||||||||||||||||||||||||||||||||||
| Response | No response | ||||||||||||||||||||||||||||||||||||||||||||||
| Repeat Dilatation or Botox inj. as needed | Surgical consultation | ||||||||||||||||||||||||||||||||||||||||||||||