High-resolution manometry in the diagnosis of diffuse esophageal spasm: A rare motility disorder

2020 ◽  
pp. 1
Author(s):  
Deepanjan Dey ◽  
Krishan Singh ◽  
Shelka Dua
Keyword(s):  
High Resolution ◽  
Motility Disorder ◽  
Diffuse Esophageal Spasm ◽  
High Resolution Manometry ◽  
Esophageal Spasm

scholarly journals A Case of Symptomatic Diffuse Esophageal Spasm During Multiple Rapid Swallowing Test on High-Resolution Manometry

2010 ◽  
Vol 16 (4) ◽  
pp. 433-436 ◽  
Author(s):  
Eun Mi Lee ◽  
Moo In Park ◽  
Won Moon ◽  
Kyung Mi Kim ◽  
Seun Ja Park ◽  
...  
Keyword(s):  
High Resolution ◽  
Diffuse Esophageal Spasm ◽  
High Resolution Manometry ◽  
Esophageal Spasm

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.

High Resolution Manometry Findings in Patients with Esophageal Epiphrenic Diverticula

2011 ◽  
Vol 77 (12) ◽  
pp. 1661-1664 ◽  
Author(s):  
Fernando P. P. Vicentine ◽  
Fernando A. M. Herbella ◽  
Luciana C. Silva ◽  
Marco G. Patti
Keyword(s):  
High Resolution ◽  
Visual Analysis ◽  
Upper Esophageal Sphincter ◽  
Diffuse Esophageal Spasm ◽  
High Resolution Manometry ◽  
Esophageal Spasm ◽  
Number Of Patients ◽  
Epiphrenic Diverticula ◽  
Esophageal Sphincter ◽  
Motor Abnormalities

The pathophysiology of esophageal epiphrenic diverticula is still uncertain even though a concomitant motility disorder is found in the majority of patients in different series. High resolution manometry may allow detection of motor abnormalities in a higher number of patients with esophageal epiphrenic diverticula compared with conventional manometry. This study aims to evaluate the high resolution manometry findings in patients with esophageal epiphrenic diverticula. Nine individuals (mean age 63 ± 10 years, 4 females) with esophageal epiphrenic diverticula underwent high resolution manometry. A single diverticulum was observed in eight patients and multiple diverticula in one. Visual analysis of conventional tracings and color pressure plots for identification of segmental abnormalities was performed by two researchers experienced in high resolution manometry. Upper esophageal sphincter was normal in all patients. Esophageal body was abnormal in eight patients; lower esophageal sphincter was abnormal in seven patients. Named esophageal motility disorders were found in seven patients: achalasia in six, diffuse esophageal spasm in one. In one patient, a segmental hypercontractile zone was noticed with pressure of 196 mm Hg. High resolution manometry demonstrated motor abnormalities in all patients with esophageal epiphrenic diverticula.

Sa1320 Manometric Correlates of Radiographic Esophageal Spasm: A Comparison Between the Chicago Classification and Conventional Criteria Using High Resolution Manometry

2013 ◽  
Vol 144 (5) ◽  
pp. S-261-S-262
Author(s):  
Kunjal Gandhi ◽  
Elizabeth S. Rosenblatt ◽  
Sameer Dhalla ◽  
Victor Chedid ◽  
Ellen M. Stein ◽  
...  
Keyword(s):  
High Resolution ◽  
High Resolution Manometry ◽  
Chicago Classification ◽  
Esophageal Spasm

Esophageal Dysmotility in Patients following Total Laryngectomy

2017 ◽  
Vol 158 (2) ◽  
pp. 323-330 ◽  
Author(s):  
Teng Zhang ◽  
Julia Maclean ◽  
Michal Szczesniak ◽  
Paul P. Bertrand ◽  
Harry Quon ◽  
...  
Keyword(s):  
Total Laryngectomy ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Diffuse Esophageal Spasm ◽  
Esophageal Dysmotility ◽  
Cross Sectional ◽  
High Resolution Manometry ◽  
Esophageal Clearance ◽  
Esophageal Spasm ◽  
Motor Abnormalities

Objectives Dysphagia is common in total laryngectomees, with some symptoms suggesting esophageal dysmotility. Tracheoesophageal (TE) phonation requires effective esophagopharyngeal air passage. Hence, esophageal dysmotility may affect deglutition or TE phonation. This study aimed to determine (1) the characteristics of esophageal dysmotility in laryngectomees, (2) whether clinical history is sensitive in detecting esophageal dysmotility, and (3) the relationship between esophageal dysmotility and TE prosthesis dysfunction. Study Design Multidisciplinary cross-sectional study. Setting Tertiary academic hospital. Subjects and Methods For 31 participants undergone total laryngectomy 1 to 12 years prior, clinical histories were taken by a gastroenterologist and a speech pathologist experienced in managing dysphagia. Esophageal high-resolution manometry was performed and analyzed using Chicago Classification v3.0. Results Interpretable manometric studies were obtained in 23 (1 normal manometry). Esophageal dysmotility patterns included achalasia, esophagogastric junction outflow obstruction, diffuse esophageal spasm, and other major (30%) and minor (50%) peristaltic disorders. The sensitivity of predicting any esophageal dysmotility was 28%, but it is noteworthy that patients with achalasia and diffuse esophageal spasm (DES) were predicted. Two of 4 participants with TE puncture leakage had poor esophageal clearance. Of 20 TE speakers, 12 had voice problems, no correlation between poor voice, and any dysmotility pattern. Conclusions Peristaltic and lower esophageal sphincter dysfunction are common in laryngectomees. Clinical history, while not predictive of minor motor abnormalities, predicted correctly cases with treatable spastic motor disorders. Dysmotility was not associated with poor phonation, although TE puncture leakage might be linked to poor esophageal clearance. Esophageal dysmotility should be considered in the laryngectomees with persisting dysphagia or leaking TE puncture.

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.

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