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Diffuse esophageal spasm
DIFFUSE ESOPHAGEAL SPASM
simultaneous ring-shaped contractions were evident (B); a spiral, screw-like contraction was observed from the distal esophagus to the esophagogastric junction (C). Manometry revealed simultaneous, nonperistaltic contractions in the body of the esophagus (D). The lower esophageal sphincter pressure was slightly elevated (60 mm of water). A diagnosis of diffuse esophageal spasm was made, and the patient was treated by balloon dilation twice per week. After 5 treatments, the symptoms were resolved.
A 63-year-old man presented with dysphagia and chest discomfort. Barium contrast radiography of the esophagus demonstrated a corkscrew-shaped contraction of the entire esophagus (A). At endoscopy, 428
GASTROINTESTINAL ENDOSCOPY
Tomohiro Kato, MD Takafumi Naiki, MD Hiroshi Araki, MD Masahito Nagaki, MD Hisataka Moriwaki, MD First Department of Internal Medicine Gifu University School of Medicine Gifu, Japan PII: S0016-5107(04)01706-7 VOLUME 60, NO. 3, 2004
simultaneous ring-shaped contractions were evident (B); a spiral, screw-like contraction was observed from the distal esophagus to the esophagogastric junction (C). Manometry revealed simultaneous, nonperistaltic contractions in the body of the esophagus (D). The lower esophageal sphincter pressure was slightly elevated (60 mm of water). A diagnosis of diffuse esophageal spasm was made, and the patient was treated by balloon dilation twice per week. After 5 treatments, the symptoms were resolved.
A 63-year-old man presented with dysphagia and chest discomfort. Barium contrast radiography of the esophagus demonstrated a corkscrew-shaped contraction of the entire esophagus (A). At endoscopy, 428
GASTROINTESTINAL ENDOSCOPY
Tomohiro Kato, MD Takafumi Naiki, MD Hiroshi Araki, MD Masahito Nagaki, MD Hisataka Moriwaki, MD First Department of Internal Medicine Gifu University School of Medicine Gifu, Japan PII: S0016-5107(04)01706-7 VOLUME 60, NO. 3, 2004