scholarly journals Manometrically jackhammer esophagus with fluoroscopically/endoscopically distal esophageal spasm: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Apichet Sirinawasatien ◽  
Pallop Sakulthongthawin
Keyword(s):  
Chest Pain ◽  
High Resolution ◽  
Gastrointestinal Endoscopy ◽  
Motility Disorder ◽  
Upper Gastrointestinal Endoscopy ◽  
Channel Blockers ◽  
Esophageal Motility Disorder ◽  
High Resolution Manometry ◽  
Esophageal Spasm ◽  
Upper Gastrointestinal

Abstract Background Jackhammer esophagus is a rare esophageal motility disorder that can result in dysphagia, chest pain, and gastro-esophageal reflux symptoms. High-resolution manometry is the gold standard for diagnosis, while corkscrew esophagus on upper gastrointestinal endoscopy is an uncommon manifestation. Case presentation 72-year-old man who presented with progressive dysphagia for three months without symptoms of chest pain or heartburn. Initial workup showed a corkscrew esophagus on upper gastrointestinal endoscopy; subsequently, high-resolution manometry revealed an esophago-gastric junction outflow obstruction with hypercontractile (jackhammer) esophagus. Treatment with calcium channel blockers and proton pump inhibitors was successful and relieved his symptoms near completion. Conclusions Even though the corkscrew esophagus is typically for distal esophageal spasm, the hypercontractile (jackhammer) esophagus can appear. The high-resolution manometry can help to distinguish each specific motility disorder.

scholarly journals Duodenal Lipoma - Report of Two Cases and Review of the Literature

1990 ◽  
Vol 4 (4) ◽  
pp. 147-150
Author(s):  
Jeremy Goldberg ◽  
Stewart M Hamilton ◽  
RD Cherry ◽  
RW Sherbaniuk ◽  
Laurence D Jewell
Keyword(s):  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Bleeding ◽  
Motility Disorder ◽  
Upper Gastrointestinal Endoscopy ◽  
Pathological Findings ◽  
Review Of The Literature ◽  
Esophageal Motility Disorder ◽  
Bleeding Management ◽  
Endoscopic Findings ◽  
Upper Gastrointestinal

Diagnostic upper gastrointestinal endoscopy has increased the frequency with which duodenal lipomas are encountered in clinical practice. Although the smaller lesions are usually incidental endoscopic findings unrelated to symptoms, an accurate diagnosis depends upon biopsy and histological assessment Larger lesions may bleed or obstruct. The authors present two cases: one lipoma was found incidentally during the investigation of an esophageal motility disorder; the other larger one presented as a mass lesion in a patient with upper gastrointestinal bleeding. Pathological findings suggested that the lipoma was the cause of the bleeding. Management is briefly discussed.

scholarly journals Spectrum of Esophageal Motility Disorders in Patients with Motor Dysphagia and Noncardiac Chest Pain ‑ A Single Center Experience

2017 ◽  
Vol 08 (02) ◽  
pp. 068-071
Author(s):  
Rinkesh Kumar Bansal ◽  
Mukesh Nasa ◽  
Gaurav Kumar Patil ◽  
Vinit Shah ◽  
Narendra S. Choudhary ◽  
...  
Keyword(s):  
Chest Pain ◽  
High Resolution ◽  
Esophageal Motility ◽  
Esophageal Manometry ◽  
Motility Disorder ◽  
Esophageal Motility Disorders ◽  
Noncardiac Chest Pain ◽  
Esophageal Motility Disorder ◽  
Motility Disorders ◽  
High Resolution Manometry

ABSTRACT Aims and Objective: High‑resolution esophageal manometry is the most important investigation for the evaluation of patients with dysphagia and noncardiac chest pain (NCCP). Chicago Classification (CC) utilizing an algorithmic approach in analyzing high‑resolution manometry has been accepted worldwide, and an updated version, CC v3.0, of this classification has been developed by the International high‑resolution manometry working Group in 2014. Data on the spectrum of esophageal motility disorders in Indian population are scarce as well as a newer version of CC has not been used to classify. The aim of our study is to evaluate clinical presentation and manometric profile of patients with suspected esophageal motility disorders using CC v3.0. Methodology: In this retrospective study, consecutive patients referred for esophageal manometry at our center from 2010 to 2015 were included in the study. High‑resolution esophageal manometry was performed with 22‑channel water‑perfusion system (MMS, The Netherlands). Newer version of CC (CC v3.0) was used to classify motility disorders. Results: A total of 400 patients were included, with a mean age of 44 years and 67.5% were males. Out of these, 60% (n = 240) patients presented with motor dysphagia while 40% (n = 160) had NCCP. Motility disorder was present in 50.5% (n = 202) of the patients while 49.5% (n = 198) patients had normal manometry. Disorders of esophagogastric junction outflow were the predominant type of disorder, found in 33.75% (n = 135). About 14.25% (n = 57) of the patients had minor disorders of peristalsis while 5% (n = 20) of the patients had other major disorders of peristalsis. Achalasia was the most common motility disorder present in 30% (n = 120) patients. Conclusion: Dysphagia was the most common esophageal symptom followed by NCCP in our series. Achalasia was the most common esophageal motility disorder followed by fragmented peristalsis.

scholarly journals Radiation Esophagitis in a Patient with Oral Carcinoma and Bone Metastasis

2020 ◽  
Vol 14 (3) ◽  
pp. 453-457 ◽  
Author(s):  
Toshimi Chiba ◽  
Yu Ohashi ◽  
Naoko Tsunoda ◽  
Kei Onodera ◽  
Tadashi Kawai ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Chest Pain ◽  
Bone Metastasis ◽  
Bone Metastases ◽  
Gastrointestinal Endoscopy ◽  
Acute Radiation ◽  
Oral Carcinoma ◽  
Upper Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal ◽  
Radiation Esophagitis

Radiation esophagitis requiring endoscopic evaluation occurs quite rarely, affecting <1% of patients undergoing radiation treatment. Acute radiation esophagitis develops within 3 weeks of radiation therapy. We describe herein a case of radiation esophagitis in a patient with oral carcinoma with multiple general bone metastases. Cisplatin, fluorouracil, and cetuximab were given for 3 cycles. Radiation therapy (30 Gy) to the thoracic vertebrae and lumbar vertebrae was prescribed to prevent worsening of bone metastases and relieve pain. Neutropenia was also observed due to chemotherapy. After the end of radiation therapy, the patient experienced chest pain, heartburn, and dysphagia. Upper gastrointestinal endoscopy revealed severe radiation esophagitis of endoscopic Fukui Acute Radiation Esophagitis grade 4. Oral food was discontinued and an intravenous proton-pump inhibitor was administered. After 3 weeks, upper gastrointestinal endoscopy showed improvement of radiation esophagitis, with scars. The symptoms of chest pain, heartburn, and dysphagia had also disappeared. This is the first case to be reported of acute radiation esophagitis in a patient with oral carcinoma with bone metastasis who experienced dramatic improvement of endoscopic findings. Neutropenia appears to be associated with more severe acute radiation esophagitis.

scholarly journals Necessity of Upper Gastrointestinal Endoscopy in Patients with Noncardiac Chest Pain

2013 ◽  
Vol 84 (4) ◽  
pp. 515 ◽  
Author(s):  
Jin Sil Pyo ◽  
Sun Moon Kim ◽  
Yoo Jin Um ◽  
Joo Ah Lee ◽  
Hoon Sup Koo ◽  
...  
Keyword(s):  
Chest Pain ◽  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Endoscopy ◽  
Noncardiac Chest Pain ◽  
Upper Gastrointestinal

scholarly journals Severe Chest Pain due to N-Acetylcysteine-Induced Esophagitis

2019 ◽  
Vol 2019 ◽  
pp. 1-2 ◽  
Author(s):  
Weihong Wang ◽  
Yu Zhang ◽  
Yi Liu ◽  
Lei Xu ◽  
Dingmei Shi
Keyword(s):  
Chest Pain ◽  
Gastrointestinal Endoscopy ◽  
Unusual Case ◽  
Upper Gastrointestinal Endoscopy ◽  
Shortness Of Breath ◽  
Severe Chest Pain ◽  
History Of ◽  
Upper Gastrointestinal ◽  
Powdered Form

We report an unusual case of severe chest pain caused by N-acetylcysteine-induced esophagitis. An 81-year-old Chinese man with a history of interstitial lung disease was admitted to our hospital with intermittent arrhythmia that began 5 days ago. The patient presented with complaints of cough, sputum, and shortness of breath. Cefminox injections and N-acetylcysteine tablets were prescribed to improve respiratory symptoms. The patient developed severe chest pain and odynophagia 4 hours after swallowing the N-acetylcysteine tablet while in the decubitus position. Upper gastrointestinal endoscopy revealed four discrete areas of ulcerations measuring approximately 1 cm at the midesophageal level. The distance between the foci and the incisors was approximately 24 cm. The patient continued the N-acetylcysteine orally, which was administered in powdered form with more water while in the upright position. Pantoprazole and hydrotalcite were also administered to the patient. The symptoms subsided, and a follow-up endoscopy after 20 days showed that the ulcers healed. This case highlights that seemingly safe drugs such as N-acetylcysteine can lead to severe chest pain if ingested inappropriately.

Phenobarbital-Responsive Ptyalism, Dysphagia, and Apparent Esophageal Spasm in a German Shepherd Puppy

2004 ◽  
Vol 40 (3) ◽  
pp. 230-237 ◽  
Author(s):  
Kristi J. Gibbon ◽  
Lauren A. Trepanier ◽  
Fern A. Delaney
Keyword(s):  
Gastrointestinal Endoscopy ◽  
Clinical Presentation ◽  
Upper Gastrointestinal Endoscopy ◽  
German Shepherd ◽  
Esophageal Function ◽  
German Shepherd Dog ◽  
Esophageal Spasm ◽  
Salivary Gland Enlargement ◽  
Upper Gastrointestinal ◽  
Gland Enlargement

A 10-week-old, male German shepherd dog was presented with a primary complaint of episodic ptyalism, dysphagia, vomiting, and mandibular salivary gland enlargement. An esophagram with fluoroscopy showed normal pharyngeal and esophageal function; however, upper gastrointestinal endoscopy and cervical ultrasonography revealed a focal circumferential thickening of the midcervical esophageal muscular wall, consistent with esophageal spasm. The puppy responded dramatically and completely to phenobarbital treatment. An unusual syndrome of phenobarbital-responsive hypersialosis was consistent with this dog’s clinical presentation and the finding of apparent esophageal spasm. The pathogenesis of this syndrome is unclear, but it may represent a form of limbic epilepsy or peripheral autonomic dysfunction.

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