Diffuse Esophageal Spasm

Diffuse Esophageal Spasm

An 82-year-old man was admitted to our hospital due to dysphagia. Barium esophagography showed the esophagus to have a corkscrew appearance (Picture 1). Esophagogastroduodenoscopy also showed similar findings (Picture 2). Given these typical imaging findings, he was diagnosed with diffuse esophageal spasm (DES), although esophageal manometry for a definite diagnosis could not be performed due t...

Diffuse esophageal spasm: transforming into achalasia.

Of 130 patients diagnosed to have esophageal motility disorders, transformation of diffuse esophageal spasm (DES) into achalasia was identified in one patient. The clinical syndmme of DES was first described by Hamilton Osgood in 1889. It is characterizedby symptoms of substernal chest pain and dysphagia, tertiary contractions on barium swallow and a manometric pattern of frequent simultaneous ...

Rare Radiological Pattern of Diffuse Esophageal Spasm

A 42-year-old man with history of esophageal strictures and esophageal dilation presented to the emergency department with 12 hours of dysphagia and non-bloody emesis. His symptoms started upon waking and included sharp retrosternal pain during each attempt at swallowing. Dysphagia occurred with both solids and liquid. He denied difficulty initiating swallowing, pain with eating the previous ni...

Peroral endoscopic myotomy (POEM) for diffuse esophageal spasm.

esophageal spasm Diffuse esophageal spasm (DES) is a rare esophageal dysmotility condition characterized by simultaneous contractions of the distal esophagus and manifested by dysphagia and chest pain. Pharmacological therapy, endoscopic interventions, and surgical myotomy have been linked to various outcomes [1,2]. Recently, peroral endoscopic myotomy (POEM) has been introduced as an effective...

Chest pain of diffuse esophageal spasm simulating disease of the coronary arteries.