GI Endoscopy · 1 min read
Nutknacker Esophagus
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Nutcracker esophagus is a rare esophageal motility disorder characterized by abnormally strong, hyper-coordinated contractions during swallowing, which can cause chest pain and dysphagia. The ethology is unknown,...
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Nutcracker esophagus is a rare esophageal motility disorder characterized by abnormally strong, hyper-coordinated contractions during swallowing, which can cause chest pain and dysphagia. The ethology is unknown, but it has been linked to other esophageal issues like GERD and use of chronic opiates. Nutkancker esophagus is more common in women over 50. The diagnosis is primarily made through EGD or barium swallow (see above) and confirmed by esophageal manometry. Other diagnostic tests include a barium swallow and upper endoscopy. Treatment options included oral calcium channel blockers or other anti-spasmodic drugs.
Endoscopic treatments include injection of botulinum toxin injections into the or POEM.
Barium swallow - source: https://radiologykey.com/motility-disorders-of-the-esophagus/
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