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Related Experiment Videos

Diffuse esophageal spasm: radiographic and manometric correlation.

Y M Chen1, D J Ott, E G Hewson

  • 1Department of Radiology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC 27103.

Radiology
|March 1, 1989
PubMed
Summary

Radiography reveals abnormal esophageal motility in most patients with diffuse esophageal spasm (DES), but findings are nonspecific. Esophageal wall thickness is not a differentiating factor for DES.

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Area of Science:

  • Gastroenterology
  • Medical Imaging
  • Motility Disorders

Background:

  • Diffuse esophageal spasm (DES) presents with chest pain and dysphagia.
  • DES is characterized by simultaneous esophageal contractions on manometry.
  • Radiographic findings in DES require further clarification.

Purpose of the Study:

  • To correlate radiographic and manometric findings in patients with DES.
  • To evaluate the role of radiography in diagnosing this esophageal motility disorder.

Main Methods:

  • Retrospective analysis of 17 patients diagnosed with DES.
  • Correlation of radiographic findings with esophageal manometry results.
  • Comparison of esophageal wall thickness with a control group.

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Main Results:

  • Incomplete or absent primary peristalsis observed in 76% of DES patients on radiographs.
  • Tertiary esophageal activity noted in 71% of DES patients.
  • No significant difference in esophageal wall thickness between DES patients and controls.

Conclusions:

  • Most DES patients exhibit abnormal esophageal motility on radiographs.
  • Radiographic findings in DES are nonspecific and necessitate clinical and manometric correlation.
  • Esophageal wall thickness is not a reliable indicator for differentiating DES.