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Esophageal Chest Pain: Esophageal Spasm

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Gastrointestinal Motility Disorders

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Abstract

Esophageal spasm is a rare esophageal motility disorder associated with dysphagia and chest pain that is characterized on esophageal manometry by uncoordinated and/or vigorous esophageal contractions. Diagnostic criteria and clinical significance of spastic esophageal disorders (which have included distal esophageal spasm and “nutcracker” or “jackhammer” esophagus) have fluctuated over time, which has contributed to the challenges associated with clinical management. This chapter describes the epidemiology, diagnosis, and management strategies associated with spastic esophageal motility disorders.

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Acknowledgements

Disclosures:

Dustin Carlson: Nothing to disclose.

John E. Pandolfino: Given Imaging (Consultant, Grant, Speaking), Sandhill Scientific (Consulting, Speaking), Takeda (Speaking), Astra Zeneca (Speaking).

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Authors and Affiliations

  1. Department of Medicine, Division of Gastroenterology and Hepatology, Feinberg School of Medicine, Northwestern University, 676 St Clair St, Suite 1400, Chicago, IL, 60611-2951, USA

    Dustin A. Carlson M.D., M.S.C.I. & John E. Pandolfino M.D., M.S.C.I.

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  1. Dustin A. Carlson M.D., M.S.C.I.
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  2. John E. Pandolfino M.D., M.S.C.I.
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Correspondence to Dustin A. Carlson M.D., M.S.C.I. .

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Editors and Affiliations

  1. Institute of Gastroenterology, Sheba medical Center, Tel Aviv University, Ramat Aviv, Tel Aviv, Israel

    Eytan Bardan

  2. Division of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA

    Reza Shaker

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Carlson, D.A., Pandolfino, J.E. (2018). Esophageal Chest Pain: Esophageal Spasm. In: Bardan, E., Shaker, R. (eds) Gastrointestinal Motility Disorders . Springer, Cham. https://doi.org/10.1007/978-3-319-59352-4_2

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  • DOI: https://doi.org/10.1007/978-3-319-59352-4_2

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