Diffuse esophageal spasm
Diffuser
Ösophagusspasmus bei einem ca. 75-jährigen in der Breischluckuntersuchung.
Manometrically
jackhammer esophagus with fluoroscopically/endoscopically distal esophageal spasm: a case report. Barium esophagogram showed a constricted and curling of the esophageal lumen resembling a corkscrew
Korkenzieher-Ösophagus:
Spiralig über den unteren Anteil des Ösophagus laufende, spastische Kontraktion.
Diffuser
Ösophagusspasmus mit grossem epiphrenischem Divertikel und Barsony-Pseudodivertikeln
Upper
gastrointestinal series with giant pulsation diverticula. May not be to scale.
This image
is part of a series which can be scrolled interactively with the mousewheel or mouse dragging. This is done by using Template:Imagestack. The series is found in the category Diffuse esophageal spasm Case 003. Diffuser Oesophagusspasmus im Breischluck frontal. Serie für Template:Imagestack.
Diffuse
esophageal spasm • Diffuse esophageal spasm - Ganzer Fall bei Radiopaedia
Diffuse
esophageal spasm • Diffuse esophageal spasm - Ganzer Fall bei Radiopaedia
Diffuse
esophageal spasm • Corkscrew esophagus - Ganzer Fall bei Radiopaedia
This image
is part of a series which can be scrolled interactively with the mousewheel or mouse dragging. This is done by using Template:Imagestack. The series is found in the category Diffuse esophageal spasm Case 001. Diffuser Oesophagusspasmus im Breischluck. Dynamische Serie für Template:Imagestack. Segmentale, nicht propulsive Peristaltik mit tiefer, spastischer Durchschnürung.
This image
is part of a series which can be scrolled interactively with the mousewheel or mouse dragging. This is done by using Template:Imagestack. The series is found in the category Diffuse esophageal spasm Case 002. Diffuser Oesophagusspasmus im Breischluck. Patient mit Herzschrittmacher. Dynamische Serie für Template:Imagestack.
This image
is part of a series which can be scrolled interactively with the mousewheel or mouse dragging. This is done by using Template:Imagestack. The series is found in the category Diffuse esophageal spasm Case 002. Diffuser Oesophagusspasmus im Breischluck. Patient mit Herzschrittmacher. Der Pfeil zeigt auf ein kleines Barsony-Pseudodiverdikel.
Diffuse
esophageal spasm • Diffuse esophageal spasm - Corkscrew esophagus - Ganzer Fall bei Radiopaedia
Diffuse
esophageal spasm • Corkscrew esophagus - Ganzer Fall bei Radiopaedia
Upper
gastrointestinal series. Corkscrew appearance of the esophagus due to Diffuse esophageal spasm. (DES) is a condition in which uncoordinated contractions of the esophagus occur.
Diffuse
esophageal spasm • Corkscrew esophagus - Ganzer Fall bei Radiopaedia
Manometrically
jackhammer esophagus with fluoroscopically/endoscopically distal esophageal spasm: a case report. Upper gastrointestinal endoscopy revealed the corkscrew appearance of the lower esophagus (a); and normal esophagogastric junction (b)
Diffuse
esophageal spasm • Diffuse esophageal spasm (illustration) - Ganzer Fall bei Radiopaedia
Diffuse
esophageal spasm • Corkscrew esophagus - Ganzer Fall bei Radiopaedia
Diffuse
esophageal spasm • Corkscrew esophagus - Ganzer Fall bei Radiopaedia
Corkscrew
sign (disambiguation) • Corkscrew (photo) - Ganzer Fall bei Radiopaedia
nicht verwechseln mit: NussknackerösophagusDiffuse/distal esophageal spasm (DOS) is a motility disorder of the esophagus. On barium swallow, diffuse esophageal spasm may appear as a corkscrew or rosary bead esophagus, but this is uncommon. Manometry is the gold-standard diagnostic test.
Diffuse esophageal spasm differs from hypercontracting esophagus (nutcracker esophagus) but doesn't exclude each other.
Epidemiology
Diffuse esophageal spasm is an unusual cause of non-cardiac chest pain (2%) or dysphagia (4%). It occurs most commonly in patients >50 years old but can occur at any age.
Clinical presentation
Chest pain and dysphagia are the primary complaints, but severity and occurrence are highly variable. Regurgitation may also be a feature (but less common than in achalasia) .
Pathology
Etiology
Etiology is unknown but may be related to loss of inhibitory neurons in the distal esophagus.
Radiographic features
Fluoroscopy
- only 60% of barium swallows will be abnormal
- <5% will show "corkscrew esophagus" or "rosary bead esophagus" where normal peristalsis is interrupted by many tertiary (non-propulsive) contractions occurring in the distal esophagus
- non-peristaltic contractions, pushing contrast in two directions, can be seen (sometimes the only feature)
- sacculations and pseudodiverticula may be seen
Differential diagnosis
- achalasia: diffuse esophageal spasm may mimic achalasia in severe cases
- non-specific esophageal motility disorder
- secondary esophageal dysmotility from diabetic autonomic neuropathy
Siehe auch:
- Ösophaguskarzinom
- Membranstenose Ösophagus
- Presbyösophagus
- Barsony-Pseudodivertikel
- Hypermotile Achalasie
- Nussknackerösophagus
- Störungen der ösophagealen Peristaltik
- Fremdkörperimpaktation
- epiphrenisches Divertikel
- Feline-Ösophagus
- eosinophile Ösophagitis
- Dampfhammer-Ösophagus
- gastroösophageale Refluxerkrankheit
und weiter:
Assoziationen und Differentialdiagnosen zu Diffuser Ösophagusspasmus:
