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Corkscrew Esophagus


Presentation

  • A proton-pump inhibitor had been prescribed 3 years before presentation and did not provide relief. The patient was referred for evaluation.[nejm.org]
  • , however, without the appearance of a corkscrew esophagus Usually occurs over the age of 50 Normal esophageal manometry is present, at least intermittently Clinical Findings Chest pain is the hallmark Dysphagia Heartburn Regurgitation Imaging Findings[learningradiology.com]
  • Difficulty in swallowing, weight loss, severe pain over the upper chest, and a characteristic corkscrew image on radiogram are the symptoms usually present.[medical-dictionary.thefreedictionary.com]
  • Among topics presented are: Etiology of Dysphagia; Dysphagia Screening and Assessment Instruments; The Modified Barium Swallow; Functional Endoscopic Evaluation of Swallowing; Esophageal Disease; Ancillary Testing in the Evaluation of Dysphagia; Malnutrition[books.google.com]
Hypoxemia
  • 61 Solitary Pulmonary Nodule in a 58YearOld Male Case 42 483 Chapter 62 Persistent Jaundice in a 1MonthOld Infant Case 43 497 Chapter 63 Newborn Baby with a Large Abdominal Wall Defect Case 44 503 Chapter 64 Newborn Infant with Labored Breathing and Hypoxemia[books.google.com]
Labored Breathing
  • Breathing and Hypoxemia Case 45 510 Chapter 65 Vomiting in an Infant Case 46 516 Chapter 66 3YearOld Female with a 12Hour Onset of Abdominal Pain Vomiting and Fever of 385C Case 47 523 Chapter 67 4YearOld Boy with a Groin Mass Case 48 529 Chapter 68[books.google.com]
Dysphagia
  • Among topics presented are: Etiology of Dysphagia; Dysphagia Screening and Assessment Instruments; The Modified Barium Swallow; Functional Endoscopic Evaluation of Swallowing; Esophageal Disease; Ancillary Testing in the Evaluation of Dysphagia; Malnutrition[books.google.com]
  • A 74-year-old man presented with a 30-year history of intermittent dysphagia and regurgitation, which his doctor had initially referred to as a “hysterical reaction.”[nejm.org]
  • This is particularly true in patients with severe functional dysphagia: in a series of 156 consecutive patients with a severe degree of dysphagia that required treatment by pneumatic dilatations, the nature of the underlying motility disorders was analysed[healthonnet.org]
Abdominal Mass
  • Mass in a 4MonthOld Infant Case 50 545 Chapter 70 Liver Transplant Evaluation Case 51 561 Chapter 71 Kidney Transplant Evaluation Case 52 567 Chapter 72 Cardiac Transplant Evaluation Case 53 574 Chapter 73 Introduction to Surgical Critical Care 585 Chapter[books.google.com]
Vascular Disease
  • Her medical history included thoracic aortic aneurysm (nonsurgical management), corticosteroid-dependent rheumatoid arthritis (RA), atrial fibrillation, peripheral vascular disease, and chronic obstructive pulmonary disease. Vital signs were normal.[consultant360.com]
  • Altura BM, Altura BT, Carella A, Turcapaty PD: Hypomagnesemia and vasoconstriction: Possible relationship to etiology of sudden death ischemic heart disease and hypertensive vascular diseases. Artery 1981;9:212–231.[karger.com]
Papule
  • Larger, disfiguring hemangiomas and darker, flat macules or papules also may develop. The small bowel is the most commonly affected site; however, any part of the GI tract can be involved. Blebs in the colon most often are located distally.[consultant360.com]

Workup

Mediastinal Mass
  • Chapter 57 Gastric Bypass Case 39 451 Chapter 58 Coronary Revascularization Case 40 463 Coronary Bypass 470 Chapter 60 Mediastinal Mass in a 61YearOld Male Case 41 475 Chapter 61 Solitary Pulmonary Nodule in a 58YearOld Male Case 42 483 Chapter 62 Persistent[books.google.com]
ST Elevation
  • ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction - executive summary. ‏ الصفحة 105 - Morrow DA, Antman EM, Charlesworth A, et al.[books.google.com]

Treatment

  • Barium shallow shows dialation of esophagus with narrowing of the distal esophagus. the treatment of choice is ..[pguploads.wordpress.com]
  • Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances.[books.google.com]
  • Esophageal Motility Disorders Treatment & Management. Eric A Gaumnitz, and Abdullah Fayyad. eMedicine[learningradiology.com]

Prognosis

  • Is the failure of the LES to relax, or the presence of secondary peristaltic waves, indicative of a poor prognosis after surgery ? H.J. Stein. T.R. DeMeester (Omaha) 230. How to interpret the findings of low motor amplitude in DES and achalasia ? J.[hon.ch]
  • However, these results are from highly specialised centres. [ 1 ] Surgery seems less effective for NE. [ 7 ] Prognosis [ 3 ] The prognosis is probably good, in that the (limited) evidence so far suggests that most patients have an improvement in symptoms[patient.info]

Etiology

  • Among topics presented are: Etiology of Dysphagia; Dysphagia Screening and Assessment Instruments; The Modified Barium Swallow; Functional Endoscopic Evaluation of Swallowing; Esophageal Disease; Ancillary Testing in the Evaluation of Dysphagia; Malnutrition[books.google.com]
  • Etiology is unknown but may be related to loss of inhibitory neurones in the distal esophagus .[radiopaedia.org]
  • Treat with endoscopic dilation Esophageal varices (ReelDx) Dilated veins in the distal esophagus or proximal stomach caused by elevated pressure in the portal venous system, typically from cirrhosis Presentation: Often asymptomatic until hematemesis Etiology[smartypance.com]
  • The precise etiology of hypotensive esophagus or hypotensive LES remains unknown in most cases.[nature.com]
  • Etiology 1ry ACHALASIA •Degeneration of the Aeurbach’s plexus. 2ry ACHALASIA • Neoplastic. • Chagas disease. • Postoperative (laparoscopic Nissen fundoplication). 15.[slideshare.net]

Epidemiology

  • Epidemiology References: [1] Epidemiological data refers to the US, unless otherwise specified.[amboss.com]
  • […] muscle thickening in the oesophageal wall. [ 3 ] DES has been reported to be found in conjunction with other disorders, including anxiety and depression, diabetes mellitus, alcoholic neuropathies, pseudo-obstruction, amyloidosis and scleroderma. [ 2 ] Epidemiology[patient.info]
Sex distribution
Age distribution

Pathophysiology

  • We review the pathophysiology of this finding, correlating it to corkscrew and rosary images that originated this classic description. KEYWORDS: Barium; Esophageal motility disorders; Esophagus; Radiography; Upper gastrointestinal tract[ncbi.nlm.nih.gov]
  • We review the pathophysiology of this finding, correlating it to corkscrew and rosary images that originated this classic description.[link.springer.com]
  • A second outstanding feature of this volume is its success in balanc ing basic pathophysiology with practical considerations of clinical man agement.[books.google.com]
  • DES and achalasia are thought to share the pathophysiological feature of defective inhibitory neural signaling. 4,9 The notion, however, that DES could progress to achalasia remains a source of debate.[acgcasereports.gi.org]
  • Massry SG: The clinical pathophysiology of magnesium; in Ritz E, Massry SG, Heidland A, Schaefer K (eds): Pathophysiological Problems in Clinical Nephrology. Contrib Nephrol. Basel, Karger, 1978, vol 14, pp 64–73.[karger.com]

Prevention

  • The upper esophageal sphincter (UES) is comprised of several striated muscles, creating a tonically closed valve and preventing air from entering into the gastrointestinal tract.[emedicine.medscape.com]
  • Motility (structural deformity) problems of the sphincter muscle at the base of the esophagus, which prevents swallowed food from making its way back to the esophagus. Nervous breakdowns, anxiety, stress or panic attacks.[digestion.ygoy.com]
  • Esophageal achalasia affects one per 100,000 persons annually. 1 It is a motor disorder of the lower esophagus that is caused by a loss of the myenteric plexus of neurons. 2 The lower esophageal sphincter (LES) fails to relax properly, which prevents[aafp.org]
  • […] typically from cirrhosis Presentation: Often asymptomatic until hematemesis Etiology: Portal hypertension (from cirrhosis), Budd-Chiari syndrome (from occlusion of hepatic veins) Treatment: Therapeutic endoscopy – endoscopic banding and IV octreotide, prevent[smartypance.com]

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