<prompt> Cork-screw appearance of esophagus:Achalasia cardiaCancer esophagusSchatzki ringDES  <response>: Ans. d DESRef: Bailey and Love 26th edition, Page 1017 Diffuse Esophageal Spasm: Hyper Motility disorder characterized by chest pain and dysphagia Most common finding is cork screw esophagus in lower 23rd esophagus commonly. Medical treatment is primary: Calcium channel blockers, vasodilators, endoscopic dilatation Long myotomy up to arch of aorta is done in cases with dysphagia only. Chest pain will not improve with surgery 