Diffuse esophageal spasm

The diffuse esophageal spasm ( Barsony - Teschendorf syndrome ) is a motility disorder of the esophagus with repeated often paroxysmally occurring, segmental, non- propulsive contractions of the smooth muscle component.

Symptoms

During a seizure, pain can occur behind the breastbone, which are sometimes not safe to differ from pectanginösen complaints. Hence the term "Non - Cardiac Chest Pain ". Often, dysphagia occurs.

Diagnostics

Is not always possible presentation perlschnurartiger or corkscrew -like contractions in the Breischluckuntersuchung as the esophagus can in between represent completely unobtrusive. In the positive case and the same subjective symptoms occur as a diffuse esophageal cause is likely. The segmental spastic contractions can lead to touching the Ösophaguswände. The intermediate, wide Ösophagusabschnitte can impress as diverticula. The term " Barsony 's diverticulum " is used for this purpose, although it is not in the radiological sense to real diverticulum and better Barsony - pseudodiverticula be called.

The Esophageal manometry can register for a longer period, the pressure conditions in the esophagus and is therefore diagnostically sensitive than Breischluck - ray examination for the seizure-like appearance with asymptomatic intervals.

A special form of diffuse spasm is the Corkscrew esophagus, which is based on a spiral, long segment contraction. Endoscopy can be observed in this disease a spiral staircase -like course of the esophagus.