Treatment

Fig. 3.54 Diffuse esophageal spasm a Endoscopic appearance

Fig. 3.54 Diffuse esophageal spasm a Endoscopic appearance

Diffuse esophageal spasm responds poorly to treatment. The patient should avoid drinking hot or cold liquids. A regimen of nitrates and calcium antagonists before meals may be tried.

b Manometric findings in diffuse esophageal spasm. Simultaneous hypotonic contractions in the tubular esophagus. Normotonic resting pressure in the LES, which shows adequate relaxation with swallowing (from: Hahn and Riemann, Klinische Gastroenterologie. Vol. I, 3rd ed. Stuttgart: Thieme 1996) les = lower esophageal sphincter sw = swallow

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