Diffuse esophageal spasm diagnostic study of choice: Difference between revisions
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=== Diagnostic Criteria === | === Diagnostic Criteria === | ||
*DES is diagnosed based on The Chicago Classification v.3.0 | *DES is diagnosed based on The Chicago Classification v.3.0 | ||
* | *On conventional manometry, > or equal to 20% or more of simultaneous contractions (amplitude > 30 mm Hg) defines DES. | ||
*On high resolution manometry (HRM), greater or equal to 20% premature contractions (with distal latency < 4.5 seconds) defines DES. | |||
*Manometric presentation is intermittent and may not be present on each swallow during testing. | |||
* | |||
* | |||
Revision as of 15:13, 4 November 2017
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Madhu Sigdel M.B.B.S.[2]
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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 diagnostic study of choice On the Web |
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American Roentgen Ray Society Images of Diffuse esophageal spasm diagnostic study of choice |
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Diffuse esophageal spasm diagnostic study of choice in the news |
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Blogs on Diffuse esophageal spasm diagnostic study of choice |
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Risk calculators and risk factors for Diffuse esophageal spasm diagnostic study of choice |
Overview
- The page name should be "Diagnostic study of choice for [disease name]", with only the first letter of the title capitalized. Note that the page is called "Diagnostic study of choice."
- Goal:
- To describe the most efficient/sensitive/specific test that is utilized for diagnosis of [disease name].
- To describe the gold standard test for the diagnosis of [disease name].
- To describe the diagnostic criteria, which may be based on clinical findings, physical exam signs, pathological findings, lab findings, findings on imaging, or even findings that exclude other diseases.
- As with all microchapter pages linking to the main page, at the top of the edit box put {{CMG}}, your name template, and the microchapter navigation template you created at the beginning.
- Remember to create links within WikiDoc by placing [[square brackets]] around key words which you want to link to other pages. Make sure you makes your links as specific as possible. For example, if a sentence contained the phrase anterior spinal artery syndrome, the link should be to anterior spinal artery syndrome not anterior or artery or syndrome. For more information on how to create links, click here.
- Remember to follow the same format and capitalization of letters as outlined in the template below.
- You should include the name of the disease in the first sentence of every subsection.
Diagnostic Study of Choice
Template statements
Gold standard/Study of choice:
- Conventional manometry testing is the gold standard test for the diagnosis of DES.
Sequence of Diagnostic Studies
The upper GI endoscopy, Barium swallow, esophageal PH monitoring and Manometry should be performed after an ECG and cardiac work up when:
- The patient presented with chest pain and/or dysphagia as the first step of diagnosis.
Diagnostic Criteria
- DES is diagnosed based on The Chicago Classification v.3.0
- On conventional manometry, > or equal to 20% or more of simultaneous contractions (amplitude > 30 mm Hg) defines DES.
- On high resolution manometry (HRM), greater or equal to 20% premature contractions (with distal latency < 4.5 seconds) defines DES.
- Manometric presentation is intermittent and may not be present on each swallow during testing.
References
- References should be cited for the material that you have put on your page. Type in {{reflist|2}}.This will generate your references in small font, in two columns, with links to the original article and abstract.
- For information on how to add references into your page, click here.