A 60 year old male came with c/o of difficulty in swallowing vomitting barium swallow done!!



Diffuse oesophageal spasm is the cause of dysphagia .Typically Cork-Screw oesophagus on barium swallow and it is more common in distal 2/3rd of oesophagus. .No proven pharmacological or endoscopic treatment. .Calcium channel antagonists, Vasodilators and endoscopic dilatations have only temporary measures. .If symptoms are severe, extended oesophageal myotomy is the only definitive treatment

Thanks u sir!!

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Diffused esopgaheal spasm ....also can do Manometry for confirmation..

Diffuse Oesophageal Spasm . Cork Screw Try For Endoscopic Balloon Dilatation or Self Expanding Metallic Stents. Intractable case with req Oesophageal Myotomy.

Diffuse esophageal spasm... Corkscrew appearance

Corkscrew oesophagus.

Diffuse esophageal spasm.

Diffuse esophageal spasm

Even though barium swallow suggest diffuse esophageal spasm, r/o malignancy since he is 60yrs

Diffuse esophageal spasm cock screw

Ca oesophagus

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