Cork screw type of oesophagus on barium swallow is seen in which of the following
Cricopharyngeal spasm
Diffuse oesophageal spasm
Nut cracker oesophagus
Achalasia cardia
DIFFUSE OESOPHAGEAL SPASM It is characterized by strong non-peristaltic contractions of the body of oesophagus while sphincteric relaxation is normal. Clinical features:- The symptoms consist of dysphagia or odynophagia with substernal chest pain, simulating angina pectoris. Investigations:- Barium swallow may show segmented oesophageal spasms giving a rosary bead or a cork-screw type of oesophagus, though it may be normal in some. Manometry shows normal relaxation of the sphincter on swallowing. Treatment:- The treatment is dilatation of lower oesophagus. Severe cases may require myotomy of oesophagus from the arch of aoa to lower sphincter. Ref:- Dhingra; pg num:-344
Oral cavity & Oesophagus