Gastroenterology Book

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Esophageal Spasm

Aka: Esophageal Spasm
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  1. See Also
    1. Esophageal Dysmotility
  2. Pathophysiology
    1. Waves of peristalsis occur simultaneously
    2. Peristalsis preserved to some extent
  3. Diagnosis
    1. Esophageal manometry
  4. Management: Treat underlying cause for spasm
    1. Medications may be ineffective
    2. Reflux Esophagitis
      1. Antisecretory therapy (e.g. Proton Pump Inhibitor)
    3. Mood Disorder
      1. Reassurance
      2. Selective Serotonin Reuptake Inhibitors (SSRI)
      3. Anxiolytics
      4. Tricyclic Antidepressants
    4. Achalasia
      1. See Esophageal Achalasia
    5. Antispasmodics
      1. Nitroglycerin
      2. Calcium Channel Blockers
        1. Nifedipine 10 mg capsule
          1. Bite and swallow capsule 30 minutes before meal
  5. References
    1. Bennett (2001) BMJ 323:794

Esophageal spasm (C0014863)

Definition (MSH) A hypermotility disorder of the ESOPHAGUS that is characterized by spastic non-peristaltic responses to SWALLOWING; CHEST PAIN; and DYSPHAGIA.
Concepts Pathologic Function (T046)
MSH D015155
ICD10 K22.4
SnomedCT 68681007, 79962008, 196614005
English Esophagus, diffuse spasm, Diffuse Esophageal Spasm, Diffuse Esophageal Spasms, Esophageal Spasm, Esophageal Spasm, Diffuse, Esophageal Spasms, Esophageal Spasms, Diffuse, Spasm, Diffuse Esophageal, Spasm, Esophageal, Spasms, Diffuse Esophageal, Spasms, Esophageal, ESOPHAGUS, SPASM, ESOPHAGEAL SPASM, ESOPHAGOSPASM, OESOPHAGOSPASM, DOS - Diffuse oeso spasm, SPASM ESOPHAGEAL, ESOPHAGEAL SPASM DIFFUSE, OS - Esophageal spasm, diffuse esophageal spasm (diagnosis), diffuse esophageal spasm, Esophagospasm (disorder), ES - Oesophageal spasm, Spasm esophageal, Esophageal Spasm, Diffuse [Disease/Finding], dysmotility esophageal, corkscrew esophagus, diffuse esophageal spasms, esophageal motor disorder, spasm esophageal, dyskinesia esophagus, esophagospasms, esophagus spasm, oesophageal motility disorder, oesophageal spasms, esophageal motility disorder, Spasm;oesophageal, oesophagus spasm, diffuse oesophageal spasm, oesophagus spasms, disorders esophageal motor, dyskinesia of esophagus, esophageal dysmotility, esophageal spasms, esophagu spasms, spasm of oesophagus, esophagospasm, esophagus spasms, oesophageal dysmotility, spasm of esophagus, Spasm oesophageal, Esophagospasm, Diffuse spasm of esophagus, Esophagism, Spasm of esophagus, DOS - Diffuse esophageal spasm, DOS - Diffuse oesophageal spasm, Diffuse esophageal spasm, Diffuse oesophageal spasm, Oesophageal spasm, Oesophagospasm, Diffuse spasm of oesophagus, Oesophagism, Spasm of oesophagus, OS - Oesophageal spasm, Diffuse spasm of esophagus (disorder), ES - Esophageal spasm, Esophageal spasm, esophagismus, esophagus; spasm, spasm; esophagus, esophageal spasm, Spasm;esophageal, oesophageal spasm
French SPASME OESOPHAGIEN, Spasme oesophagien, Spasme de l'oesophage
Portuguese ESPASMO ESOFAGICO, Esofagospasmo, Espasmo esofágico, Espasmo Esofágico Difuso, Espasmo Esofágico
Dutch slokdarmspasme, oesofagusspasmen, oesofageale spasmen, slokdarmspasmen, spasmen oesofageaal, oesofagus; spasme, spasme; oesofagus, oesofagusspasme, Oesofagusspasme, Slokdarmspasme, Spasme, oesofagus-, Spasme, slokdarm-
German Spasmus des Oesophagus, OESOPHAGUSSPASMUS, Oesophagusspasmus, Krampf, ösophagealer, Krampf, Speiseröhren-, Ösophagospasmus, diffuser, Ösophagospasmus, Ösophagusspasmus, diffuser, Ösophagusspasmus, Spasmen, ösophageale, Speiseröhrenkrampf
Italian Esofagospasmo, Spasmo esofageo, Spasmo esofageo diffuso
Spanish Esofagoespasmo, Espsmo esofágico, Oesophageal spasm, Oesophagospasm, Esophagospasm, Esophageal spasm, Spasm of esophagus, Spasm of oesophagus, ESOFAGOSPASMO, esofagismo, esofagoespasmo, espasmo de esófago (concepto no activo), espasmo de esófago, espasmo difuso del esófago (trastorno), espasmo difuso del esófago, espasmo esofágico, Espasmo esofágico, Espasmo Esofágico Difuso, Espasmo Esofágico, Espasmo Esofagico Difuso, Espasmo Esofagico
Swedish Esofaguskramp
Japanese ｼｮｸﾄﾞｳｹｲﾚﾝ, けいれん-食道, 食道けいれん, びまん性食道痙攣, 汎発性食道痙攣, 瀰漫性食道痙攣, 食道痙攣-瀰漫性, 食道痙攣, びまん性食道けいれん, 汎発性食道けいれん, 痙攣-食道, 食道けいれん-びまん性, 食道痙攣-びまん性, 食道痙攣-び漫性, 食道痙攣-汎発性
Czech ezofágus - spazmus difuzní, Jícnový spasmus, Spasmus jícnu
Finnish Diffuusi ruokatorven spasmi
Russian SPAZM PISHCHEVODNYI, PISHCHEVODNYI SPAZM DIFFUZNYI, ПИЩЕВОДНЫЙ СПАЗМ ДИФФУЗНЫЙ, СПАЗМ ПИЩЕВОДНЫЙ
Polish Skurcz przełyku rozlany
Hungarian Nyelőcső görcs, Oesophagospasmus, Oesophagealis görcs, Oesophagus görcse, Nyelőcsőgörcs
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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