Title: Esophageal dysmotility - MediGoo - Health Medical Tests | Information
Headings: Esophageal dysmotility
Esophageal dysmotility
Esophageal dysmotility: Description, Causes and Risk Factors:
Symptoms:
Diagnosis:
Treatment:

Content: Patients with spastic esophageal motility disorders show no abnormalities on chest radiographs. Esophagram: Advanced achalasia produces a dilated intrathoracic esophagus with an air-fluid level. The classic sign is a tapering of the LES, creating the characteristic "bird-beak" appearance. Early achalasia would reveal a normal anatomical esophagus with loss of peristalsis and transient stasis just above the GEJ. Occasionally, epiphrenic diverticula are noted immediately above the LES. Hiatal hernia reportedly is observed in 10-20% of patients with achalasia. In patients with DES, the classic esophagram findings are of a "corkscrew" or "rosary bead" esophagus. Pseudodiverticula and curling also suggest DES. In patients with scleroderma esophagus, the esophagram shows a slightly dilated esophagus, weak or absent peristalsis, and free reflux often is demonstrated.