Tue Nov 24, 2009
UCLA Health System Research and Education: David Geffen School of Medicine at UCLAPatient Care: UCLA Health System
UCLA Center for Esophageal Disorders
Home
About Us
Our Expert Team
Preparing for your visit
Preparing for Surgery
Conditions and Treatments
Patient Stories
Spotlight
Clinical Trials and Research
Contact Us
Medical Terms
Giving / Donations
Esophageal News



 

Esophageal Conditions and Treatments

Esophageal Conditions

Nutcracker Esophagus

What is Nutcracker Esophagus?
Nutcracker Esophagus is a condition in which the muscles of your esophagus contract too powerfully. Over half of the cases of nutcracker esophagus are related to GERD.

What symptoms will I experience if I have Nutcracker Esophagus?
Chest pain
Difficulty swallowing, or a sensation that food is stuck in your esophagus
Heartburn


How is it diagnosed?
Esophageal Manometry: An esophageal manometry involves passing a small tube or catheter through your nose or mouth and into the stomach. The tube is then slowly pulled back through the esophagus and pressure readings are taken at intervals along the esophagus.
Esophagoscopy or Endoscopy: Performed most commonly in patients who experience difficulty swallowing or food sticking in the esophagus. This is when a thin, flexible tube is introduced to your esophagus orally. This tube is lighted and has a camera on the end, which allows your physician to see the inside of your esophagus and take biopsies as needed.


What is the treatment process for Nutcracker Esophagus?
There are several treatment options available for patients suffering from nutcracker esophagus.
Anti-reflux medication: Since over half of all nutcracker esophagus patients develop nutcracker esophagus as a result of GERD, treatment of reflux symptoms can be effective.
Other Medications: Medications such as nitrates and calcium channel blockers can help to relax the muscles of the esophagus and stomach, however they are not overly effective.