Hypercontracting (nutcracker) esophagus
Updates to Article Attributes
Hypercontracting (nutcracker) oesophagus is a motility disorder of the oesophagus. This condition is primarily diagnosed with manometry with high intra-oesopahgeal-oesophageal pressure and normal peristalsis. Most patients will have a normal barium swallow.
Hypercontracting oesophagus ("nutcracker oesophagus") differs from diffuse oesophageal spasm ("corckscrew"corkscrew oesophagus").
Epidemiology
Hypercontracting oesophagus occurs in 10% of patients with non-cardiac chest pain.
Clinical presentation
Symptoms include chest pain, dysphagia, and gastro-oesophageal reflux disease.
Pathology
Aetiology is unknown but may be related to gastro-oesophageal reflux or stress 2.
Associations
- obesity 6
Radiographic features
Fluoroscopy
Barium swallows are usually normal. A minority of patients may demonstrate features of non-specific oesophageal motility disorder 1,2.
DifferentialDifferential diagnosis
-<p><strong>Hypercontracting (nutcracker) oesophagus</strong> is a motility disorder of the oesophagus. This condition is primarily diagnosed with manometry with high intra-oesopahgeal pressure and normal peristalsis. Most patients will have a normal barium swallow. </p><p>Hypercontracting oesophagus ("nutcracker oesophagus") differs from <a href="/articles/diffuse-oesophageal-spasm">diffuse oesophageal spasm</a> ("corckscrew oesophagus"). </p><h4>Epidemiology</h4><p>Hypercontracting oesophagus occurs in 10% of patients with non-cardiac chest pain. </p><h4>Clinical presentation</h4><p>Symptoms include chest pain, dysphagia, and <a href="/articles/gastro-oesophageal-reflux-disease">gastro-oesophageal reflux disease</a>.</p><h4>Pathology</h4><p>Aetiology is unknown but may be related to <a href="/articles/gastro-oesophageal-reflux-disease">gastro-oesophageal reflux</a> or stress <sup>2</sup>. </p><h5>Associations</h5><ul><li>- +<p><strong>Hypercontracting (nutcracker) oesophagus</strong> is a motility disorder of the oesophagus. This condition is primarily diagnosed with manometry with high intra-oesophageal pressure and normal peristalsis. Most patients will have a normal barium swallow. </p><p>Hypercontracting oesophagus ("nutcracker oesophagus") differs from <a href="/articles/diffuse-oesophageal-spasm">diffuse oesophageal spasm</a> ("corkscrew oesophagus"). </p><h4>Epidemiology</h4><p>Hypercontracting oesophagus occurs in 10% of patients with non-cardiac chest pain. </p><h4>Clinical presentation</h4><p>Symptoms include chest pain, dysphagia, and <a href="/articles/gastro-oesophageal-reflux-disease">gastro-oesophageal reflux disease</a>.</p><h4>Pathology</h4><p>Aetiology is unknown but may be related to <a href="/articles/gastro-oesophageal-reflux-disease">gastro-oesophageal reflux</a> or stress <sup>2</sup>. </p><h5>Associations</h5><ul><li>
-</li></ul><h4>Radiographic features</h4><h5>Fluoroscopy</h5><p>Barium swallows are usually normal. A minority of patients may demonstrate features of <a href="/articles/non-specific-oesophageal-motility-disorder">non-specific oesophageal motility disorder</a> <sup>1,2</sup>. </p><h4>Differential diagnosis</h4><ul>- +</li></ul><h4>Radiographic features</h4><h5>Fluoroscopy</h5><p>Barium swallows are usually normal. A minority of patients may demonstrate features of <a href="/articles/non-specific-oesophageal-motility-disorder">non-specific oesophageal motility disorder</a> <sup>1,2</sup>. </p><h4>Differential diagnosis</h4><ul>
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