Nutcracker esophagus is one of several motility disorders of the esophagus, including achalasia and diffuse esophageal spasm.
It’s also known as jackhammer esophagus or hypercontractile esophagus.
Esophageal webs refer to an esophageal constriction caused by a thin mucosal membrane projecting into the lumen. Esophageal carcinoma is relatively uncommon. Megaesophagus or diffuse esophageal dilatation can be caused by a variety of conditions.
It tends to present with increasing dysphagia, initially to solids and progressing to liquids as the tumor increases in size, obstructing the lumen of the esophagus.
They can occur in all ages but more frequent in adults and elderly people. Diffuse/distal esophageal spasm (DOS) is a motility disorder of the esophagus.On barium swallow, diffuse esophageal spasm may appear as a corkscrew or rosary bead esophagus, but this is uncommon.Manometry is the gold-standard diagnostic test. Chapter Outline Normal Esophageal Anatomy Normal Esophageal Physiology Radiographic Evaluation Esophageal Motility Disorders Primary Motility Disorders Nonspecific Esophageal Motility Disorder Secondary Motility Disorders Motility disorders of the esophagus are an important cause of esophageal complaints, especially when symptoms are not readily …
In certain situations, the syndrome can result from a retroaortic or circumaortic left renal vein. Pathology. Nutcracker esophagus refers to having strong spasms of your esophagus. Diffuse esophageal spasm differs from hypercontracting esophagus (nutcracker esophagus). Hypercontracting (nutcracker) esophagus is a motility disorder of the esophagus. Esophageal diverticula are either: true diverticula: include all esophageal layers; false diverticula: contain only mucosa and submucosa herniating through the muscular layer (e.g. Regurgitation may also be a feature (but less common than in Etiology is unknown but may be related to loss of inhibitory neurons in the distal esophagus. Diffuse esophageal spasm is an unusual cause of non-cardiac chest pain (2%) or Chest pain and dysphagia are the primary complaints, but severity and occurrence are highly variable. Hematuria should be from the left ureteric orifice only Compression of the left renal vein can occur primarily in two anatomic locations Radiographic features are similar on ultrasound, Doppler ultrasound, CT, MRI, and conventional angiography: Treatment should be started strictly when it is causing symptoms (hematuria and left flank pain).
This condition is primarily diagnosed with manometry with high intra-esophageal pressure and normal peristalsis. This condition is primarily diagnosed with manometry with high intra-esophageal pressure and normal peristalsis. In certain situations, the syndrome can result from a The most common clinical manifestations of nutcracker syndrome are left flank pain, pelvic pain, hematuria and gonadal varices. Surgical treatment modalities have their inherent complications and should be contemplated only when strongly indicated.
Nutcracker esophagus, or hypertensive peristalsis, is a disorder of the movement of the esophagus characterized by contractions in the smooth muscle of the esophagus in a normal sequence but at an excessive amplitude or duration. A few of the reported surgical choices are:The first clinical report of this syndrome was made by {"url":"/signup-modal-props.json?lang=us\u0026email="}ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. Nutcracker syndrome should not be confused with superior mesenteric artery syndrome (Wilkie syndrome) also a superior mesenteric artery compression disorder, where the SMA compresses the third part of the duodenum (the two conditions, however, may be associated). Zenker diverticulum); Esophageal diverticula are classified according to the mechanism of … {"url":"/signup-modal-props.json?lang=us\u0026email="}{"containerId":"expandableQuestionsContainer","displayRelatedArticles":true,"displayNextQuestion":true,"displaySkipQuestion":true,"articleId":32647,"mcqUrl":"https://radiopaedia.org/articles/diffuse-oesophageal-spasm/questions/1146?lang=us"}ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. Orthostatic proteinuria has also been reported. Hematuria can be microscopic or macroscopic.
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