Diffuse esophageal spasm guidelines for management: Difference between revisions

Revision as of 18:00, 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

Antispasmodics

Medical therapy of DES

Botox injection/esophageal dilatation

Response

No response

Repeat Dilatation or Botox as needed

Surgical consultation

@@ Line 11: / Line 11: @@
 {{Family tree | | | | |!| | | | | }}
 {{Family tree | | | | B01 | | | |B01= Esophageal pH}}
-{{Family tree| |,|-|^|-|-|-|-|-|.| }}
+{{Family tree| |,|-|-|^|-|-|-|-|-|.| }}
-{{Family tree| | C01 | | | | | | C02 |C01= Normal| C02= Abnormal}}
+{{Family tree| | C01 | | | | | | C02 |C01= Normal| | C02= Abnormal}}
 {{Family tree| | |!| | | | | | | |!| | | | | }}
 {{Family tree| | C101 | | | | | | C102 |C101= Primary DES| C102= Secondary DES}}
-{{familytree | |,|-|^|-|.| | | | | | | | | | | | | | | | | }}
+{{familytree |,|-|^|-|.| | | | | | | | | | | | | | | | | }}
 {{familytree | D01 | | D02 | | | | | | | | | | | |D01=Mild|D02=Moderate/severe}}
 {{familytree | |!| | | |!| | | | | | | | | | | | | | | | }}
@@ Line 21: / Line 21: @@
 {{familytree | | | | | |!| | | | | | | | | | | | | | | | | | }}
 {{familytree | | | | | F01 | | | | | | | | | | | | |F01=Botox injection/esophageal dilatation}}
+{{Family tree | | | |,|-|-|^|-|-|.| | }}
+{{Family tree | | |C01| | | |  C02 |C01= Response| C02= No response}}
+{{familytree  | | | |!| | | | | | |!| }}
+{{familytree  | | | F01 | | | | | | F02 |F01=Repeat Dilatation or Botox as needed|F02=Surgical consultation}}
 {{Family tree/end}}