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Fixed corkscrew pattern of the esophagus.

S E Hodes, M A Korsten

    The American Journal of Gastroenterology
    |March 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    A fixed "corkscrew" esophagus can occur in alcoholic patients with dysphagia, even without manometric evidence of esophageal spasm. This condition involves abnormal peristaltic waves and a constant distal esophageal deformity.

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    Application of summary receiver operating characteristics (sROC) analysis to diagnostic clinical testing.

    Advances in medical sciences·2008

    Area of Science:

    • Gastroenterology
    • Esophageal Motility Disorders
    • Radiology

    Background:

    • Dysphagia and esophageal motility disorders are common in alcoholics.
    • Esophageal diverticula can be associated with motility abnormalities.
    • Corkscrew esophagus, or " திருகு குழாய்" esophagus, is a rare radiographic finding.

    Observation:

    • A case study of an alcoholic patient presenting with dysphagia.
    • Radiographic, manometric, and endoscopic evaluations were performed.
    • The patient exhibited a mid-esophageal diverticulum and a fixed "corkscrew" deformity of the distal esophagus.

    Findings:

    • The patient had progressive, high-amplitude peristaltic waves without manometric evidence of esophageal spasm.
    • Tertiary contractions, often associated with corkscrew esophagus, were not detected manometrically.

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  • The distal esophageal deformity was constant and appeared fixed.

    • Implications:

    • Manometric evidence of tertiary contractions may be absent in some corkscrew esophagus cases.
    • A corkscrew esophagus configuration can become fixed, irrespective of manometric findings.
    • This case highlights the variability in manometric presentation of esophageal motility disorders.