Thoracoscopic esophageal myotomy ? a surgical technique for achalasia diffuse esophageal spasm and ?nutcracker esophagus?

1994 ◽  
Vol 8 (8) ◽  
pp. 921-926 ◽  
Author(s):  
C. J. Filipi ◽  
R. A. Hinder
Keyword(s):  
Surgical Technique ◽  
Diffuse Esophageal Spasm ◽  
Nutcracker Esophagus ◽  
Esophageal Spasm ◽  
Esophageal Myotomy

scholarly journals Primary esophageal motility disorders: Concise review for clinicians

2006 ◽  
Vol 53 (3) ◽  
pp. 9-17 ◽  
Author(s):  
A. Simic ◽  
Z. Raznatovic ◽  
O. Skrobic ◽  
P. Pesko
Keyword(s):  
Esophageal Motility ◽  
Wide Spectrum ◽  
The Other ◽  
Esophageal Motility Disorders ◽  
Diffuse Esophageal Spasm ◽  
Nutcracker Esophagus ◽  
Motility Disorders ◽  
Esophageal Spasm ◽  
Concise Review ◽  
Primary Esophageal Motility Disorders

Primary esophageal motility disorders comprise various abnormal manometric patterns which usually present with dysphagia or chest pain. Some, such as achalasia, are diseases with a well defined pathology, characteristic manometric features, and good response to treatments directed towards the palliation of symptoms. Other disorders, such as diffuse esophageal spasm and nutcracker esophagus, have no well defined pathology and could represent a range of motility abnormalities associated with subtle neuropathic changes, gastresophageal reflux and anxiety states. On the other hand, hypocontracting esophagus is generally caused by weak musculature commonly associated with gastresophageal reflux disease. Although manometric patterns have been defined for these disorders, the relation with symptoms is poorly defined and in some cases the response to medical or surgical therapy unpredictable. The aim of this paper is to present a wide spectrum of the primary esophageal motility disorders, as well as to give a concise review for the clinicians encountering these specific diseases. .

Long esophageal myotomy with a fundic patch procedure for treating diffuse esophageal spasm: Report of a case

Surgery Today ◽  
1993 ◽  
Vol 23 (4) ◽  
pp. 360-365 ◽  
Author(s):  
Nobuhiro Sato ◽  
Masatoshi Watanabe ◽  
Sinya Mastuno ◽  
Naoto Nishinari ◽  
Akira Sasaki ◽  
...  
Keyword(s):  
Diffuse Esophageal Spasm ◽  
Esophageal Spasm ◽  
Esophageal Myotomy

Relationship between esophageal muscle thickness and intraluminal pressure in patients with esophageal spasm

2002 ◽  
Vol 282 (6) ◽  
pp. G1016-G1023 ◽  
Author(s):  
Nonko Pehlivanov ◽  
Jianmin Liu ◽  
Ghassan S. Kassab ◽  
Cheryl Beaumont ◽  
Ravinder K. Mittal
Keyword(s):  
Ultrasound Imaging ◽  
Muscle Thickness ◽  
Normal Subjects ◽  
High Amplitude ◽  
Intraluminal Pressure ◽  
Diffuse Esophageal Spasm ◽  
Nutcracker Esophagus ◽  
Contraction Amplitude ◽  
Esophageal Spasm ◽  
Esophageal Muscle

We previously showed, in normal subjects, a positive correlation between the esophageal contraction amplitude and peak muscle thickness. The goal of this study was to determine the relationship between esophageal muscle thickness and contraction amplitude in patients with high-amplitude peristaltic and simultaneous contractions. Eleven patients with high-amplitude peristaltic contractions, 8 with diffuse esophageal spasm (DES), 7 with nonspecific (NS) motor disorder of the esophagus, and 10 normal subjects were studied using simultaneous pressure and ultrasound imaging. Pressure was recorded by manometry and ultrasound imaging with a high-frequency ultrasound probe catheter. Recordings were performed in the lower esophageal sphincter (LES) and at 2, 4, 6, 8, and 10 cm above the LES during resting state and swallow-induced contractions. Baseline esophageal muscle was thicker in the distal, compared with the proximal esophagus both in normal subjects and patient groups. Patients with DES and nutcracker esophagus (NC) have a higher baseline muscle thickness compared with normal and NS patients. Correlation between the peak pressure and the peak muscle thickness was weaker in patients with NC and DES compared with normal subjects and patients with NS. Whereas normal subjects have good correlation between delta (difference between peak and baseline) muscle thickness and peak pressures, this relationship was absent in patients with NC and DES. Increase in contraction amplitude in patients with NC and DES was associated with an increase in baseline thickness of esophageal muscularis propria. Increase in baseline thickness was specific to patients with spastic motor disorders and was not seen in patients with NS.

Minimally invasive surgery for diffuse esophageal spasm and nutcracker esophagus

1998 ◽  
Vol 114 ◽  
pp. A1431
Author(s):  
D. Tyrrell ◽  
M.G. Patti ◽  
M. Arcerito ◽  
C. Feo ◽  
J. Tong ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Diffuse Esophageal Spasm ◽  
Nutcracker Esophagus ◽  
Esophageal Spasm

Does Diffuse Esophageal Spasm Progress to Achalasia? A Prospective Cohort Study

2005 ◽  
Vol 50 (9) ◽  
pp. 1605-1610 ◽  
Author(s):  
Sayed Saeid Khatami ◽  
Farah Khandwala ◽  
Steven S. Shay ◽  
Michael F. Vaezi
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Diffuse Esophageal Spasm ◽  
Esophageal Spasm
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