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Home >> Exams >> MD MS EE >> AIPGMEE >> AIPGMEE 2008 >> ForumTopic: AIPGMEE 2008 recall Q4. Diffuse Esophageal Spasm

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Author:Message
sanju5

Total Posts: 138



Posted: Sun Jan 13, 2008 11:14 pm

Q4. Diffuse Esophageal Spasm is best diagnosed by ?
A. Endoscopy
B. Barium meal / swallow ?

My ans- Barium meal / swallow (Cork-screw Esophagus)
bkv

Total Posts: 9



Posted: Sun Jan 13, 2008 11:18 pm

its correct
kkrish

Total Posts: 274



Posted: Sun Jan 13, 2008 11:18 pm

hope so.. i too marked the same
shounie

Total Posts: 4



Posted: Mon Jan 14, 2008 07:23 pm

“Esophageal manometry is particularly necessary to confirm the diagnosis of specific primary esophageal motility disorders(i.e.achalasia, diffuse esophageal spasm, nutcracker esophagus and hypertensive LES)”…..SCHWARTZ’S PRINCIPLES OF SURGERY 8th EDITION.
pyromaniac

Total Posts: 8



Posted: Tue Jan 15, 2008 06:27 am

24 hr wasnt mentioned in the option,so barium one still has a chance
Adidoc2k1

Total Posts: 60



Posted: Tue Jan 15, 2008 06:37 am

can anybody please confirm that 24 hr manometry was there in the option or not,i think it wasn't there,i too marked Ba,rather this option was "tertiary contractions seen on Ba. swallow." such dreadful line i'd never heard but cudn't stop my free pen to get used some more.
shounie

Total Posts: 4



Posted: Tue Jan 15, 2008 08:02 am

Guys please do not confuse between 24 hourPH monitoring and manometry...if you open SCHWARTZ'S it clearly gives the diagnostic criteria for different esophageal motor disorders....
shubham1111gupta

Total Posts: 11



Posted: Tue Jan 15, 2008 10:21 am

ans is mano metry ref:
https://www.emedicine.com/med/topic743.htm
sridhar

Total Posts: 30



Posted: Tue Jan 15, 2008 01:31 pm

hi guys ... manometry findings will be similar in both conditions (diffuse oesophageal spasm & achalasia cardia).. therefore contrast study will be more appropriate.. any way the other two choices

c. manometry
d. ?
AAKASH

Total Posts: 43



Posted: Tue Jan 15, 2008 02:23 pm

IT'S MANOMETRY SURE YAAR. Cool
drvijay

Total Posts: 65



Posted: Wed Jan 16, 2008 04:54 am

radiographic studies has higher sensitive than manometry to esophageal disorders
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