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Thread: Corkscrew sign - Diffuse esophageal spasm

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    Default Corkscrew sign - Diffuse esophageal spasm

    Corkscrew sign

    is the abnormal segmented appearance of the oesophagus in cases of oesophageal spasm on contrast swallow examination. Normally primary peristalsis extends down the oesophagus as a coordinated wave of contraction and relaxation. In oesophageal spasm multiple segments contract simultaneously and there is failure of normal relaxation. This motility disorder of the oesophagus is most often related to gastro-oesophageal reflux disease and may present with chest pain or dysphagia.

    Corkscrew sign Diffuse esophageal spasm attachment.php?attachmentid=204&stc=1&d=1434459599
    Diffuse esophageal spasm (DES) is a condition in which uncoordinated contractions of the esophagus occur. It is thought to result from motility disorders of the esophagus. These spasms do not propel food effectively to the stomach. It can cause dysphagia, regurgitation and chest pain.

    Causes of diffuse esophageal spasm are not well understood. It is thought, however, that many cases are caused by uncontrolled brain signals running to nerve endings. Therefore, suppression medication is often the first line therapy such as anti depressants and anti-epileptic medication are prescribed. It has also been reported that very cold or hot beverages can trigger an esophageal spasm, and avoidance therapy benefits some people, but it has not been medically proven.











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