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Re: Nutcracker Esophagus

From: S. Carvajal, M.D.
Date: 05/17/00
Time: 23:02:14

Comments

Occasionally, certain patients will complain of severe sharp chest pains associated with difficulty swallowing. Most gastroenterologist and G I surgeons will then order a 24-hour pH study and esophageal manometry. If during the manometry test, there is short segment severe high pressure contractions, we make a diagnosis of Nutcracker esophagus. The only treatment for Nutcracker esophagus is to either diminish the stimulus that causes the contractions or to perform a esophagomyotomy. Medical treatments include calcium channel blockers or other antispasmodics.

Last changed: January 12, 2008