KMID : 0812020100160040433
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Journal of Neurogastroenterology and Motility 2010 Volume.16 No. 4 p.433 ~ p.436
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A Case of Symptomatic Diffuse Esophageal Spasm During Multiple Rapid Swallowing Test on High-Resolution Manometry
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:Lee Eun-Mi
:Park Moo-In/:Moon Won/:Kim Kyung-Mi/:Park Seun-Ja/:Kim Hyung-Hun
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Abstract
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Diffuse esophageal spasm (DES) is an uncommon motility disorder of unknown etiology in which the abnormal motility has been offered as a possible cause for the patient¡¯s dysphagia or chest pain. Esophageal manometry is the gold standard for the diagnosis of DES and the diagnostic hallmark is identification of simultaneous contractions in at least 20% of wet swallows, alternating with normal peristalsis. Recently, a new diagnostic technique, high-resolution manometry has been reported to improve the accuracy and detail in describing esophageal function. We report a female patient with intermittent dysphagia and chest pain occurring only when swallowing a large amount of water. On HRM, this patient had esophageal spasms, increased pressurization front velocity attributable to rapid contractile wave front, associated with symptoms, which were provoked by a multiple rapid swallowing test, and thereby was diagnosed with DES.
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KEYWORD
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Chest pain, Esophageal spasm, diffuse, Manometry
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