Esophageal Spasm Flashcards
1
Q
What is the pertinent A&P of esophageal spasm?
A
Distal two thirds of the esophagus(muscularis)
2
Q
What is the pathophysiology of esophageal spasm?
A
idiopathic motility disorder which causese loss of peristalsis in the distal two thirds of the esophagus and impaired relaxation of the LES, could be caused by GERD
It is thought to be a consequence of impaired inhibitory innervation, leading to premature and rapidly propagated ocontraction in the distal esophagus
3
Q
What are the signs and symptoms of esophageal spasm?
A
gradual onset of dysphagia with solid foods and some liquids
can be present for months
substernal discomfort/fullness
lifting neck or throwing shoulder back to enhance gastric empting
regurgitation is common
substernal chest pain
