Chest Pain and Dysphagia in Adolescents Caused by Diffuse Esophageal Spasm
Five adolescents, 13–18 years of age, underwent esophageal manometric studies because of chronic symptoms suggestive of esophageal dysfunction. Four of five patients had episodic nonexertional midchest pain; two patients experienced intermittent dysphagia. The manometric findings for these adolescen...
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| Veröffentlicht in: | Journal of pediatric gastroenterology and nutrition 1989-11, Vol.9 (4), p.450-453 |
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| container_title | Journal of pediatric gastroenterology and nutrition |
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| creator | Milov, David E. Cynamon, Harry A. Andres, Joel M. |
| description | Five adolescents, 13–18 years of age, underwent esophageal manometric studies because of chronic symptoms suggestive of esophageal dysfunction. Four of five patients had episodic nonexertional midchest pain; two patients experienced intermittent dysphagia. The manometric findings for these adolescents were consistent with a primary motility disorder known as diffuse esophageal spasm, a condition not previously reported in this age group. This represents approximately 1% of all pediatric patients undergoing esophageal manometry at our institution for the past 5 years. They have been followed for at least 2 years and three have experienced gradual resolution of their symptoms with normalization of manometric findings. Our report emphasizes two main points: (a) Diffuse esophageal spasm may cause chest pain and dysphagia in adolescents; and (b) the clinical history and esophageal manometric findings establish the diagnosis of diffuse esophageal spasm. |
| doi_str_mv | 10.1002/j.1536-4801.1989.tb09902.x |
| format | Article |
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Four of five patients had episodic nonexertional midchest pain; two patients experienced intermittent dysphagia. The manometric findings for these adolescents were consistent with a primary motility disorder known as diffuse esophageal spasm, a condition not previously reported in this age group. This represents approximately 1% of all pediatric patients undergoing esophageal manometry at our institution for the past 5 years. They have been followed for at least 2 years and three have experienced gradual resolution of their symptoms with normalization of manometric findings. Our report emphasizes two main points: (a) Diffuse esophageal spasm may cause chest pain and dysphagia in adolescents; and (b) the clinical history and esophageal manometric findings establish the diagnosis of diffuse esophageal spasm.</description><identifier>ISSN: 0277-2116</identifier><identifier>EISSN: 1536-4801</identifier><identifier>DOI: 10.1002/j.1536-4801.1989.tb09902.x</identifier><identifier>PMID: 2621523</identifier><language>eng</language><publisher>United States: Lippincott-Raven Publishers</publisher><subject>Adolescence ; Adolescent ; Chest pain ; Chest Pain - etiology ; Deglutition Disorders - etiology ; Diagnosis, Differential ; Diffuse esophageal spasm ; Esophageal Spasm, Diffuse - complications ; Female ; Humans ; Male ; Manometry</subject><ispartof>Journal of pediatric gastroenterology and nutrition, 1989-11, Vol.9 (4), p.450-453</ispartof><rights>1989 by European Society for European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition</rights><rights>Lippincott-Raven Publishers.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2640-f947176665c03d9b8ccabd0d400ad33fddff7c49e58e4fc27bc41db878c4d2c03</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2621523$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Milov, David E.</creatorcontrib><creatorcontrib>Cynamon, Harry A.</creatorcontrib><creatorcontrib>Andres, Joel M.</creatorcontrib><title>Chest Pain and Dysphagia in Adolescents Caused by Diffuse Esophageal Spasm</title><title>Journal of pediatric gastroenterology and nutrition</title><addtitle>J Pediatr Gastroenterol Nutr</addtitle><description>Five adolescents, 13–18 years of age, underwent esophageal manometric studies because of chronic symptoms suggestive of esophageal dysfunction. 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Our report emphasizes two main points: (a) Diffuse esophageal spasm may cause chest pain and dysphagia in adolescents; and (b) the clinical history and esophageal manometric findings establish the diagnosis of diffuse esophageal spasm.</description><subject>Adolescence</subject><subject>Adolescent</subject><subject>Chest pain</subject><subject>Chest Pain - etiology</subject><subject>Deglutition Disorders - etiology</subject><subject>Diagnosis, Differential</subject><subject>Diffuse esophageal spasm</subject><subject>Esophageal Spasm, Diffuse - complications</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Manometry</subject><issn>0277-2116</issn><issn>1536-4801</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkMtOwzAQRS0EglL4BCSLBbuEsePEMbuq5akKkIC15fhBU9KmxImgf49DI_YsLI98585cH4TOCcQEgF4uY5ImWcRyIDERuYjbAoQAGn_vodGftI9GQDmPKCHZETr2fgkAnKVwiA5pRklKkxF6mC6sb_GzKtdYrQ2ebf1mod5LhcPDxNSV9dquW4-nqvPW4GKLZ6VzocbXvu5brarwy0b51Qk6cKry9nS4x-jt5vp1ehfNn27vp5N5pGnGIHKCccKzLEs1JEYUudaqMGAYgDJJ4oxxjmsmbJpb5jTlhWbEFDnPNTM0eMboYjd309SfXUgvV2UIWVVqbevOSy5YxoUQofFq16ib2vvGOrlpypVqtpKA7EHKpexpyZ6W7EHKAaT8DuazYUtXrKz5sw7kgs52-lddtbbxH1X3ZRu5CDjahQykIQ2_jPqpJOyCKBzSh58MtrKy238Ekg_Pj8lvnfwAOwWTRQ</recordid><startdate>198911</startdate><enddate>198911</enddate><creator>Milov, David E.</creator><creator>Cynamon, Harry A.</creator><creator>Andres, Joel M.</creator><general>Lippincott-Raven Publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198911</creationdate><title>Chest Pain and Dysphagia in Adolescents Caused by Diffuse Esophageal Spasm</title><author>Milov, David E. ; Cynamon, Harry A. ; Andres, Joel M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2640-f947176665c03d9b8ccabd0d400ad33fddff7c49e58e4fc27bc41db878c4d2c03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Adolescence</topic><topic>Adolescent</topic><topic>Chest pain</topic><topic>Chest Pain - etiology</topic><topic>Deglutition Disorders - etiology</topic><topic>Diagnosis, Differential</topic><topic>Diffuse esophageal spasm</topic><topic>Esophageal Spasm, Diffuse - complications</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Manometry</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Milov, David E.</creatorcontrib><creatorcontrib>Cynamon, Harry A.</creatorcontrib><creatorcontrib>Andres, Joel M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric gastroenterology and nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Milov, David E.</au><au>Cynamon, Harry A.</au><au>Andres, Joel M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chest Pain and Dysphagia in Adolescents Caused by Diffuse Esophageal Spasm</atitle><jtitle>Journal of pediatric gastroenterology and nutrition</jtitle><addtitle>J Pediatr Gastroenterol Nutr</addtitle><date>1989-11</date><risdate>1989</risdate><volume>9</volume><issue>4</issue><spage>450</spage><epage>453</epage><pages>450-453</pages><issn>0277-2116</issn><eissn>1536-4801</eissn><abstract>Five adolescents, 13–18 years of age, underwent esophageal manometric studies because of chronic symptoms suggestive of esophageal dysfunction. Four of five patients had episodic nonexertional midchest pain; two patients experienced intermittent dysphagia. The manometric findings for these adolescents were consistent with a primary motility disorder known as diffuse esophageal spasm, a condition not previously reported in this age group. This represents approximately 1% of all pediatric patients undergoing esophageal manometry at our institution for the past 5 years. They have been followed for at least 2 years and three have experienced gradual resolution of their symptoms with normalization of manometric findings. Our report emphasizes two main points: (a) Diffuse esophageal spasm may cause chest pain and dysphagia in adolescents; and (b) the clinical history and esophageal manometric findings establish the diagnosis of diffuse esophageal spasm.</abstract><cop>United States</cop><pub>Lippincott-Raven Publishers</pub><pmid>2621523</pmid><doi>10.1002/j.1536-4801.1989.tb09902.x</doi><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 0277-2116 |
| ispartof | Journal of pediatric gastroenterology and nutrition, 1989-11, Vol.9 (4), p.450-453 |
| issn | 0277-2116 1536-4801 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescence Adolescent Chest pain Chest Pain - etiology Deglutition Disorders - etiology Diagnosis, Differential Diffuse esophageal spasm Esophageal Spasm, Diffuse - complications Female Humans Male Manometry |
| title | Chest Pain and Dysphagia in Adolescents Caused by Diffuse Esophageal Spasm |
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