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Introduction
  • Strong, non-peristaltic contractions of esophageal body (normal sphincter function)
  • Associated conditions
    • GERD
Presentation
  • Symptoms
    • spontaneous chest pain that radiates to back, ears, neck
      • similar to angina
Evaluation
  • Upper GI barium swallow
    • shows corkscrew esophagus
  • Manometry  
  • Endoscopy
Treatment
  • Medical
    • reflux medications
    • nitrates
    • Ca channel blockers
 

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