Diffuse esophageal spasm overview: Difference between revisions
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An x-ray of esophagus after barium swallow (esophagogram) is the next best test to support manometric diagnosis. | An x-ray of esophagus after barium swallow (esophagogram) is the next best test to support manometric diagnosis. | ||
The hallmark of DES is esophageal dysphagia and chest pain. | |||
==Historical Perspective== | ==Historical Perspective== | ||
Revision as of 15:57, 20 November 2017
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Diffuse esophageal spasm Microchapters |
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Differentiating Diffuse esophageal spasm from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Diffuse esophageal spasm overview On the Web |
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American Roentgen Ray Society Images of Diffuse esophageal spasm overview |
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Risk calculators and risk factors for Diffuse esophageal spasm overview |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Madhu Sigdel M.B.B.S.[2]
Overview
Diffuse or Distal esophageal spasm (DES) is an uncommon esophageal motility disorder causing chest pain and/or dysphagia.
Esophagus was described by Vasalius in 1543. Diffuse esophageal spasm was first described by Osgood in 1889.
There is no established system for the classification of DES.
The exact pathogenesis of DES is not fully understood.
Diffuse esophageal spasm must be differentiated from other diseases that cause dysphagia, chest pain and weight loss such as angina, reflux esophagitis, esophageal carcinoma, systemic sclerosis, nutcracker esophagus, hypertensive LES, esophageal web/stricture, pseudoachalasia, stroke, esophageal candidiasis and Chagas disease etc.
Common risk factors in the development of Diffuse Esophageal Spasm include: Age (60-80 years), obesity, mitral valve prolapse, presence of GERD, Hypertension, anxiety or depression, and drinks (eg. red wine, very hot or cold liquid or fluid).
If left untreated, most patient are symptom free over the course of time. Very few case report of progression to achalasia and nut cracker esophagus.
The diagnostic study of choice for DES is manometry.
An x-ray of esophagus after barium swallow (esophagogram) is the next best test to support manometric diagnosis.
The hallmark of DES is esophageal dysphagia and chest pain.