HAROLD P. ROTH, M.D., F.A.C.P.; BERTRAM FLESHLER, M.D., F.A.C.P.
Tertiary contractions, a series of irregular indentations in the margin of the barium-filled esophagus, are commonly seen during X-ray examination, particularly in elderly people (1). Unlike peristaltic waves, tertiary contractions remain localized and do not progress distally. The degree of distortion of the esophageal contour varies, and a number of descriptive names have been applied such as corkscrew esophagus, multiple pseudodiverticulosis, and rosary-bead esophagus (2). This condition usually has been considered to be of no clinical significance (3, 4). A few reports, however, associated these radiologic abnormalities with dysphagia and substernal pain (5-8). The clinical syndrome has been called diffuse
ROTH HP, FLESHLER B. Diffuse Esophageal Spasm: Clinical, Radiological, and Manometric Observations. Ann Intern Med. 1964;61:914–923. doi: 10.7326/0003-4819-61-5-914
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Published: Ann Intern Med. 1964;61(5_Part_1):914-923.
Esophageal Disorders, Gastroenterology/Hepatology.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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