Esophageal motility disorders

1. Esophagus / Fluoroscopy / Barium swallow / Elderly Adult / Male / Less severe simultaneous nonperistaltic contractions
Nonperistaltic contractions in the esophagus. Another elderly man without esophageal symptoms has less severe simultaneous nonperistaltic contractions. (From Ott DJ: Radiologic evaluation of esophageal dysphagia. Curr Probl Diagn Radiol 17:1-33, 1988.)


2.Esophagus / Fluoroscopy / Barium swallow / Multiple nonperistaltic contractions and disrupted primary peristalsis of esophagus
Nonspecific esophageal motility disorder. Multiple nonperistaltic contractions and disrupted primary peristalsis are seen in this patient with nonspecific esophageal motility disorder. Clinical and manometric correlation is needed to distinguish this entity from diffuse esophageal spasm. (From Levine MS, Rubesin SE, Ott DJ: Update on esophageal radiology. AJR 155:933-941, 1990, © by American Roentgen Ray Society.)

3.Esophagus / Fluoroscopy / Barium swallow / Elderly Adult / Male / Simultaneous nonperistaltic contractions
Nonperistaltic contractions in the esophagus. Barium study of an 89-year-old man with dysphagia but no chest pain. There is diffuse “curling” of the esophagus because of simultaneous nonperistaltic contractions. A nonspecific esophageal motility disorder was diagnosed on manometric examination. (From Ott DJ: Radiologic evaluation of esophageal dysphagia. Curr Probl Diagn Radiol 17:1-33, 1988.)

4.Esophagus / Fluoroscopy / Barium swallow / Peptic stricture with small hiatal hernia and sacculations in distal esophagus above level of stricture
Esophageal involvement by scleroderma. This patient with scleroderma has developed a peptic stricture (open arrows) as a complication of reflux disease. Also note a small hiatal hernia (curved arrow) and sacculations (straight arrows) in the distal esophagus above the level of the stricture.


5.Esophagus / Fluoroscopy / Barium study / Primary peristalsis associated with focally obliterative simultaneous contractions
Diffuse esophageal spasm. Intermittent disruption of primary peristalsis associated with focally obliterative simultaneous contractions. (From Levine MS, Rubesin SE, Ott DJ: Update on esophageal radiology. AJR 155:933-941, 1990, © by American Roentgen Ray Society.)


6.Esophagus / Fluoroscopy / Barium study / Elderly Adult / Male / Simultaneous nonperistaltic contractions
Nonperistaltic contractions in the esophagus. Barium study of an 89-year-old man with dysphagia but no chest pain. There is diffuse “curling” of the esophagus because of simultaneous nonperistaltic contractions. A nonspecific esophageal motility disorder was diagnosed on manometric examination. (From Ott DJ: Radiologic evaluation of esophageal dysphagia. Curr Probl Diagn Radiol 17:1-33, 1988.)


7.Presbyesophagus. Tertiary contractions (“curling”) of the esophagus, frequently found in the elderly, are not usually of significance

8.Esophagus / Fluoroscopy / Barium study / Elderly Adult / Male / Less severe simultaneous nonperistaltic contractions
Nonperistaltic contractions in the esophagus. Another elderly man without esophageal symptoms has less severe simultaneous nonperistaltic contractions. (From Ott DJ: Radiologic evaluation of esophageal dysphagia. Curr Probl Diagn Radiol 17:1-33, 1988.)


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