Diffuse esophageal spasm guidelines for management: Difference between revisions

Revision as of 16:52, 16 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

D03

D04

Antispasmodics

Medical therapy of DES

E03

Botox injection/esophageal dilatation

F02

@@ Line 11: / Line 11: @@
 {{Family tree | | | | |!| | | | | }}
 {{Family tree | | | | B01 | | | |B01= Esophageal pH}}
+{{Family tree| |,|- Normal|^|-|-Abnormal|.| | }}
+{{Family tree| | C01 | | | | | | C02 |C01= Primary DES| C02= Secondary DES}}
+{{familytree | |,|-|^|-|.| | | | | | | | | | |,|-|^|-|.| | }}
+{{familytree | D01 | | D02 | | | | | | | | | D03 | | D04 |D01=Mild|D02=Moderate/severe|D03=D03|D04=D04}}
+{{familytree | |!| | | |!| | | | | | | | | | |!| | | |!| | }}
+{{familytree | E01 | | E02 | | | | | | | | | E03 | | |!| |E01=Antispasmodics|E02=Medical therapy of DES|E03=E03}}
+{{familytree | | | | | |!| | | | | | | | | | |!| | | |!| | | | }}
+{{familytree | | | | | F01 | | | | | | | | | F02 | | |!| |F01=Botox injection/esophageal dilatation|F02=F02}}
 {{Family tree/end}}