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What is Cork-screw appearance of esophagus: and explain in detail?
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 2/3rd 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