✴️Diffuse Esophageal Spasm (DES) corkscrew esophagus- It is an esophageal motility disorder. 📍C/F- Characterized by uncoordinated esophageal contractions impairing bolus transit & presents with dysphagia & noncardiac chest pain. ✓Dx- Barium swallow (corkscrew appearance) & manometry. 📍T/t- Calcium channel blockers, nitrates, PPIs & in refractory cases- botulinum toxinsurgical myotomy. • Symptoms may fluctuate but prognosis is generallly good with treatment. | إستشاري امراض الباطنة والكبد د محم

Bryan Curtin, M.D., MHSc, is a Board Certified gastroenterologist with The Melissa L. Posner Institute for Digestive Health & Liver Disease at Mercy in Baltimore, MD. Dr. Curtin completed advanced training at the nation’s largest motility clinic in Augusta, GA. He has specialized expertise in gastrointestinal (GI) motility disorders, which impact how digestive muscles and nerves move food through the digestive tract. | Mercy Medical Center, Baltimore, MD