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GERARDO LEÓN
MR. JOHN MOSCOSO
TECHNICAL ENGLISH
Corkscrew esophagus is a variant of a condition called achalasia, a condition that results from nerve damage and makes it difficult for the body to pass food and fluids into the stomach.
it is an injection of botox into the esophagus. Botox can be effective in the short term by preventing the nerves in the esophagus from releasing a substance that causes muscle spasms. However, these injections only work for about six months.
Some patients with achalasia have complete LES relaxation, while others with DES have incomplete LES relaxation.
Several studies have shown that between 20% and 30% of patients with typical achalasia features in barium studies have complete LES relaxation and, in some cases, normal resting LES pressures on manometry . Despite variable manometric findings, dysphagia in these individuals usually resolves after endoscopic or surgical treatment of achalasia.
Barium studies and manometry have complementary roles in the evaluation of achalasia and DES. Furthermore, these motor abnormalities should be considered opposite ends of a spectrum of related esophageal motility disorders, and many patients have combined radiographic and manometric features of achalasia and DES.