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Distal esophageal spasm.(DYSPHAGIA CLINIC)(Brief article)

Ear, Nose and Throat Journal

| June 01, 2007 | Rees, Catherine J.; Belafsky, Peter C. | COPYRIGHT 2009 Vendome Group LLC. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

A 42-year-old man presented to the Center for Voice and Swallowing with symptoms of intermittent dysphagia and substernal chest pain. Cardiac causes of the chest pain had been excluded prior to consultation. Transnasal esophagoscopy revealed intermittent nonperistaltic spasms (figure 1, A). Videofluoroscopy showed the typical corkscrew appearance of the esophagus (figure 1, B). Esophageal manometry demonstrated high-amplitude, nonperistaltic, simultaneous contractions limited to the distal two-thirds of the esophagus (figure 2).

[FIGURES 1-2 OMITTED]

Distal esophageal spasm (formerly known as diffuse esophageal spasm) affects only the smooth-muscle portion…

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