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Diffuse esophageal spasm (DES), also known as distal esophageal spasm, is a condition characterized by uncoordinated contractions of the esophagus, which may cause difficulty swallowing or regurgitation. In some cases, it may cause symptoms such as chest pain, similar to heart disease. In many cases, the cause of DES remains unknown.
Nutcracker esophagus is one of several motility disorders of the esophagus, including achalasia and diffuse esophageal spasm. It causes difficulty swallowing with both solid and liquid foods, and can cause significant chest pain; it may also be asymptomatic. Nutcracker esophagus can affect people of any age but is more common in the sixth and ...
Esophageal spasm is a disorder of motility of the esophagus. [2] There are two types of esophageal spasm: [2] Diffuse or distal esophageal spasm (DES), where there is uncoordinated esophageal contractions; Nutcracker esophagus (NE) also known as hypertensive peristalsis, where the contractions are coordinated but with an excessive amplitude.
Diffuse esophageal spasm (DES) is a motility disorder characterized by recurrent episodes of chest pain or dysphagia as well as nonpropulsive (tertiary) contractions on radiographs. [ 5 ] Nutcracker esophagus is characterized by high-amplitude peristaltic contractions that are frequently prolonged and cause dysphagia and chest pain.
Esophageal rings and webs, are actual rings and webs of tissue that may occlude the esophageal lumen. Rings --- Also known as Schatzki rings from the discoverer, these rings are usually mucosal rings rather than muscular rings, and are located near the gastroesophageal junction at the squamo-columnar junction.
A further assumption is that a low levels of serotonin can causes spasms in the cervical area. [1] A plausible explanation for the cricopharyngeal spasms is a lack of neurotransmitter preventing the central nervous system from detecting that the eosophagus is closed, so that the upper esophagus sphincter becomes, randomly, hypertonic.
Esophageal dysphagia: Lumen Impacted foreign body; Wall: Esophageal atresia; Benign strictures, due to reflux esophagitis, swallowed corrosives, tuberculosis, and radiotherapy, scleroderma/systemic sclerosis; Spasms, due to achalasia, Paterson-Kelly syndrome, esophageal webs, and esophageal rings; Neoplasms, such as esophageal cancer ...
As globus sensation is a symptom, a diagnosis of globus pharyngis is typically a diagnosis of exclusion.If globus sensation is presenting with other symptoms such as pain, swallowing disorders such as aspiration or regurgitation (dysphagia), weight loss, or voice change, [10] an organic cause needs to be investigated, typically with endoscopy.