link
Bookmarks
Esophageal Motility Disturbances
Atif Zaheer, MD; Michael P. Federle, MD, FACR
To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Subscribe
0
5
2
2

KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Diagnostic Checklist

        TERMINOLOGY

        • Synonyms

          • Jackhammer esophagus, nutcracker esophagus, diffuse esophageal spasm
        • Definitions

          • Primary and secondary motility disorders of esophageal smooth muscle

        IMAGING

        • General Features

          • Fluoroscopic Findings

            DIFFERENTIAL DIAGNOSIS

              PATHOLOGY

              • General Features

                • Gross Pathologic & Surgical Features

                  • Microscopic Features

                    CLINICAL ISSUES

                    • Presentation

                      • Demographics

                        • Natural History & Prognosis

                          • Treatment

                            DIAGNOSTIC CHECKLIST

                            • Consider

                              • Image Interpretation Pearls

                                Selected References

                                1. Goel S et al: Diffuse esophageal spasm. StatPearls, 2020
                                2. Han S et al: Corkscrew esophagus in achalasia. N Engl J Med. 382(18):e42, 2020
                                3. Clermont MP et al: The relevance of spastic esophageal disorders as a diagnostic category. Curr Gastroenterol Rep. 20(9):42, 2018
                                4. Dempsey DT: Barium upper GI series in adults: a surgeon's perspective. Abdom Radiol (NY). 43(6):1323-8, 2018
                                5. Côté-Daigneault J et al: High prevalence of esophageal dysmotility in asymptomatic obese patients. Can J Gastroenterol Hepatol. 28(6):311-4, 2014
                                6. Kahrilas PJ: Esophageal motor disorders in terms of high-resolution esophageal pressure topography: what has changed? Am J Gastroenterol. 105(5):981-7, 2010
                                7. Lahcene M et al: Esophageal dysmotility in scleroderma: a prospective study of 183 cases. Gastroenterol Clin Biol. 33(6-7):466-9, 2009
                                8. Morganstern B et al: GERD and Barrett's esophagus: diagnostic and management strategies in the geriatric population. Geriatrics. 64(7):9-12, 2009
                                9. Adler DG et al: Primary esophageal motility disorders. Mayo Clin Proc. 76(2):195-200, 2001
                                10. Woodfield CA et al: Diagnosis of primary versus secondary achalasia: reassessment of clinical and radiographic criteria. AJR Am J Roentgenol. 175(3):727-31, 2000
                                11. Coggins CA et al: Wide-mouthed sacculations in the esophagus: a radiographic finding in scleroderma. AJR Am J Roentgenol. 176(4):953-4, 2001
                                12. Schima W et al: Radiographic detection of achalasia: diagnostic accuracy of videofluoroscopy. Clin Radiol. 53(5):372-5, 1998
                                13. Ott DJ: Esophageal motility disorders. Semin Roentgenol. 29(4):321-31, 1994
                                14. Schima W et al: Esophageal motor disorders: videofluoroscopic and manometric evaluation--prospective study in 88 symptomatic patients. Radiology. 185(2):487-91, 1992
                                15. Levine MS et al: Update on esophageal radiology. AJR Am J Roentgenol. 155(5):933-41, 1990
                                16. Ott DJ et al: Radiologic evaluation of esophageal motility: results in 170 patients with chest pain. AJR Am J Roentgenol. 155(5):983-5, 1990
                                17. Chen YM et al: Diffuse esophageal spasm: radiographic and manometric correlation. Radiology. 170(3 Pt 1):807-10, 1989
                                18. Ott DJ et al: Esophageal motility: assessment with synchronous video tape fluoroscopy and manometry. Radiology. 173(2):419-22, 1989
                                19. Ott DJ et al: Esophageal radiography and manometry: correlation in 172 patients with dysphagia. AJR Am J Roentgenol. 149(2):307-11, 1987
                                Related Anatomy
                                Loading...
                                Related Differential Diagnoses
                                Loading...
                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Imaging

                                  • Top Differential Diagnoses

                                    • Diagnostic Checklist

                                      TERMINOLOGY

                                      • Synonyms

                                        • Jackhammer esophagus, nutcracker esophagus, diffuse esophageal spasm
                                      • Definitions

                                        • Primary and secondary motility disorders of esophageal smooth muscle

                                      IMAGING

                                      • General Features

                                        • Fluoroscopic Findings

                                          DIFFERENTIAL DIAGNOSIS

                                            PATHOLOGY

                                            • General Features

                                              • Gross Pathologic & Surgical Features

                                                • Microscopic Features

                                                  CLINICAL ISSUES

                                                  • Presentation

                                                    • Demographics

                                                      • Natural History & Prognosis

                                                        • Treatment

                                                          DIAGNOSTIC CHECKLIST

                                                          • Consider

                                                            • Image Interpretation Pearls

                                                              Selected References

                                                              1. Goel S et al: Diffuse esophageal spasm. StatPearls, 2020
                                                              2. Han S et al: Corkscrew esophagus in achalasia. N Engl J Med. 382(18):e42, 2020
                                                              3. Clermont MP et al: The relevance of spastic esophageal disorders as a diagnostic category. Curr Gastroenterol Rep. 20(9):42, 2018
                                                              4. Dempsey DT: Barium upper GI series in adults: a surgeon's perspective. Abdom Radiol (NY). 43(6):1323-8, 2018
                                                              5. Côté-Daigneault J et al: High prevalence of esophageal dysmotility in asymptomatic obese patients. Can J Gastroenterol Hepatol. 28(6):311-4, 2014
                                                              6. Kahrilas PJ: Esophageal motor disorders in terms of high-resolution esophageal pressure topography: what has changed? Am J Gastroenterol. 105(5):981-7, 2010
                                                              7. Lahcene M et al: Esophageal dysmotility in scleroderma: a prospective study of 183 cases. Gastroenterol Clin Biol. 33(6-7):466-9, 2009
                                                              8. Morganstern B et al: GERD and Barrett's esophagus: diagnostic and management strategies in the geriatric population. Geriatrics. 64(7):9-12, 2009
                                                              9. Adler DG et al: Primary esophageal motility disorders. Mayo Clin Proc. 76(2):195-200, 2001
                                                              10. Woodfield CA et al: Diagnosis of primary versus secondary achalasia: reassessment of clinical and radiographic criteria. AJR Am J Roentgenol. 175(3):727-31, 2000
                                                              11. Coggins CA et al: Wide-mouthed sacculations in the esophagus: a radiographic finding in scleroderma. AJR Am J Roentgenol. 176(4):953-4, 2001
                                                              12. Schima W et al: Radiographic detection of achalasia: diagnostic accuracy of videofluoroscopy. Clin Radiol. 53(5):372-5, 1998
                                                              13. Ott DJ: Esophageal motility disorders. Semin Roentgenol. 29(4):321-31, 1994
                                                              14. Schima W et al: Esophageal motor disorders: videofluoroscopic and manometric evaluation--prospective study in 88 symptomatic patients. Radiology. 185(2):487-91, 1992
                                                              15. Levine MS et al: Update on esophageal radiology. AJR Am J Roentgenol. 155(5):933-41, 1990
                                                              16. Ott DJ et al: Radiologic evaluation of esophageal motility: results in 170 patients with chest pain. AJR Am J Roentgenol. 155(5):983-5, 1990
                                                              17. Chen YM et al: Diffuse esophageal spasm: radiographic and manometric correlation. Radiology. 170(3 Pt 1):807-10, 1989
                                                              18. Ott DJ et al: Esophageal motility: assessment with synchronous video tape fluoroscopy and manometry. Radiology. 173(2):419-22, 1989
                                                              19. Ott DJ et al: Esophageal radiography and manometry: correlation in 172 patients with dysphagia. AJR Am J Roentgenol. 149(2):307-11, 1987