Image of the Week: Severe non-peristaltic contractions - Clinical Advisor

Image of the Week: Severe non-peristaltic contractions

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A patient presented with symptoms including dysphagia, regurgitation, and chest pain. Can you determine the condition based on this radiograph?

The Image of the Week for Aug. 31, 2014, is brought to you in partnership with:

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Corkscrew esophagus, or diffuse esophageal spasm, is a relatively rare esophageal motility disorder.Due to minimal available information on the pathogenesis of this occurrence, it is unclear whether this abnormality represents a distinct disorder.The trademark of this form of dysmotility is...

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Corkscrew esophagus, or diffuse esophageal spasm, is a relatively rare esophageal motility disorder.

Due to minimal available information on the pathogenesis of this occurrence, it is unclear whether this abnormality represents a distinct disorder.

The trademark of this form of dysmotility is the presence of excess simultaneous contractions in the distal esophagus, although a number of other motility patterns may be observed.

As pictured here, barium radiographic images include severe non-peristaltic contractions which produce abnormalities in the barium column.


To see more cases like this, visit Figure 1.


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