Diffuse esophageal spasm guidelines for management: Difference between revisions

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{{familytree | | | C01 | | | | | | | | |C01=Chest pain}}
{{familytree | | | C01 | | | | | | | | |C01=Chest pain}}
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{{familytree |boxstyle=text-align: left; |  D01 | | D02 | | | | | |D01=• effort induced  • dyspnea syncope|D02=• dysphagia• heartburn|}}
{{familytree |boxstyle=text-align: left; |  D01 | | D02 | | | | | |D01=• Effort induced<br>   • Dyspnea<br> Syncope<br>|D02=• Dysphagia<br>• Heartburn<br>|}}
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{{Family tree | C01 ||!| | | | |C01= ECG and other cardiac work up|}}
{{Family tree | C01 ||!| | | | |C01= ECG and other cardiac work up|}}
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{{Family tree | | || B01 | |B01= Esophageal manometry}}
{{Family tree | | || B01 | |B01= Esophageal manometry}}
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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