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Recent News and Articles on the Keywords: nutcracker esophagus + nutcracker esophagus: + esophageal  Related to the article below (Last Update: 7/1/2008)

Chest pain associated with nutcracker esophagus: a preliminary study of the role of gastroesophageal …
SR ACHEM, BE KOLTS, R WEARS, L BURTON, JE RICHTER - The American journal of gastroenterology, 1993 - cat.inist.fr
Chest pain associated with nutcracker esophagus: a preliminary study of
the role of gastroesophageal reflux. SR ACHEM, BE KOLTS, R ...

Oral nifedipine in the treatment of noncardiac chest pain in patients with the nutcracker esophagus. -
JE Richter, CB Dalton, LA Bradley, DO Castell - Gastroenterology, 1987 - ncbi.nlm.nih.gov
Oral nifedipine in the treatment of noncardiac chest pain in patients with the
nutcracker esophagus. Richter JE, Dalton CB, Bradley LA, Castell DO. ...

Esophageal testing of patients with noncardiac chest pain or dysphagia. Results of three years' … -
PO Katz, CB Dalton, JE Richter, WC Wu, DO Castell - Ann Intern Med, 1987 - ncbi.nlm.nih.gov
... Nutcracker esophagus was present in 48% of abnormal tracings, suggesting
that it is a manometric marker for noncardiac chest pain. ...

Diltiazem therapy for symptoms associated with nutcracker esophagus. -
EL Cattau Jr, DO Castell, DA Johnson, TJ Spurling, … - Am J Gastroenterol, 1991 - ncbi.nlm.nih.gov
Diltiazem therapy for symptoms associated with nutcracker esophagus. Cattau EL Jr,
Castell DO, Johnson DA, Spurling TJ, Hirszel R, Chobanian SJ, Richter JE. ...

Psychological comparison of patients with nutcracker esophagus and irritable bowel syndrome -
JE Richter, WF Obrecht, LA Bradley, LD Young, KO … - Digestive Diseases and Sciences, 1986 - Springer
... 31, No. 2 (February 1986), pp. 131-138 Psychological Comparison of Patients
with Nutcracker Esophagus and Irritable Bowel Syndrome ...

The changing faces of the nutcracker esophagus. -
CB Dalton, DO Castell, JE Richter - Am J Gastroenterol, 1988 - ncbi.nlm.nih.gov
The changing faces of the nutcracker esophagus. ... The possible pathophysiological
implications of the changing faces of the nutcracker esophagus are discussed. ...

Comparison of medical and minimally invasive surgical therapy for primary esophageal motility … -
MG Patti, CA Pellegrini, M Arcerito, J Tong, SJ … - Archives of Surgery, 1995 - Am Med Assoc
... PATIENTS: Eighty-nine patients (46 men and 43 women) with either achalasia
or nutcracker esophagus and diffuse esophageal spasm (DES). ...

Esophageal eosinophilia with dysphagia -
SEA Attwood, TC Smyrk, TR Demeester, JB Jones - Digestive Diseases and Sciences, 1993 - Springer
... to the following criteria: diffuse esophageal spasm (>20% of simultaneous contractions
in two or more esophageal segments), nutcracker esophagus (a mean am ...

Ineffective Esophageal Motility (IEM)(The Primary Finding in Patients with Nonspecific Esophageal -
LP Leite, BT Johnston, J Barrett, JA Castell, DO … - Digestive Diseases and Sciences, 1997 - Springer
... motility (0.2% , 1 min/episode), diffuse esophageal spasm (0% , 0.6 min/episode),
hypertensive LES (0% , 1.8 min/episode), and nutcracker esophagus (0.4% 1.6 ...

Nutcracker esophagus: an idea whose time has gone? -
PJ Kahrilas - Am J Gastroenterol, 1993 - ncbi.nlm.nih.gov
... 1993 Aug;88(8):1287-8. Comment on: Am J Gastroenterol. 1993 Feb;88(2):187-92.
Nutcracker esophagus: an idea whose time has gone? Kahrilas PJ. ...

Source: Google Scholar
 

Nutcracker Esophagus

Nutcracker esophagus is an abnormality in which swallowing contractions are too powerful. In up to half of patients, this condition is caused by gastroesophageal reflux.

Symptoms

Symptoms include:

  • Chest pain. Experienced by most patients with nutcracker esophagus, chest pain may feel the same as the pain produced by a heart attack.
  • Dsyphagia. This is characterized by the sensation of food getting stuck under the breast bone.
  • Heartburn. This is a burning sensation under the breastbone.

Diagnosis

In confirming this condition, a doctor will do certain tests, including:

  • Esophageal manometry. This test identifies the excessively powerful swallowing contractions.
  • Upper GI endoscopy. This test is almost always done if a patient describes food sticking in the esophagus after swallowing to make sure that no abnormal growths or scars in the esophagus are causing this symptom.

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Treatment

Among the options for helping people with nutcracker esophagus are:

  • Anti-reflux therapy. This is usually tried first since many patients with nutcracker esophagus have GERD.
  • Drugs, such as nitrates or calcium channel blockers. These help relax the muscles of the esophagus and stomach. They do relieve some patients, but overall they are not very effective.
  • Tricyclic antidepressants. These drugs work by lowering the sensation of pain for some patients.
 
 
 
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