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KMID : 0812020040100010081
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Korean Journal of Neurogastroenterology and Motility
2004 Volume.10 No. 1 p.81 ~ p.85
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A Case of Diffuse Esophageal Spasm following Reflux Esophagitis
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Koo Hoon-Sup
Huh Kyu-Chan
Kim Sun-Moon
Lee Gi-Sei
Lee Tae-Hee
Im Euyi-Hyeog
Choi Young-Woo
Kang Young-Woo
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Abstract
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Diffuse esophageal spasm (DES) is a motility disorder of the esophagus characterized by simultaneous non-peristaltic contractions with high amplitude and long duration accompanied by chest pain and dysphagia. There are various hypotheses of the mechanism leading to the development of DES. DES has been classified into reflux associated DES (RDES) caused by acid exposure, and idiopathic DES (IDES) of unknown cause. Treatment is specific to the subtype. IDES is traditionally treated by smooth muscle relaxant, calcium channel blocker, etc. RDES symptoms can be reduced by H2 blockers and proton pump inhibitors (PPI). We recently assessed a 45-year-old female patient with known bronchial asthma and reflux esophagitis who complained of chest pain and recent onset dysphagia. She had reflux esophagitis on UGI endoscopy and DES on esophageal manometry. She was diagnosed as having DES following reflux esophagitis. Dysphagic symptoms were relieved by PPI. We report a case of DES following reflux esophagitis and provide a review of the literature. (Kor J Neur ogastr oenter ol Motil 2004;10:81-85)
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KEYWORD
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Diffuse esophageal spasm, Reflux esophagitis, Dysphagia, Gastroesophageal reflux
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