CHORUS
Collaborative Hypertext of Radiology
Esophagus
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tertiary esophageal contractions
disordered up-and-down movement of bolus
- 5-10% of normal adults in 4-6th decade
- location: distal 2/3 of esophagus
etiology:
- presbyesophagus
- diffuse esophageal spasm
- hyperactive achalasia
- neuromuscular disease:
diabetes, Parkinsonism, ALS, MS,
thyrotoxic myopathy, myotonic dystrophy
- obstruction of cardia: neoplasm, distal esophageal stricture,
benign lesion, surgery (repair of HH)
findings:
- spontaneous repetitive nonpropulsive contraction ("yo-yo" motion)
- "corkscrew" appearance
- compartmentalization of barium ("rosary bead", "shish kebab")
Yong H. Hahn, MD - 2 February 1995
Last updated: 1 October 2013
Copyright © 2013, Charles E. Kahn, Jr.
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