Medical Definition of Tertiary oesophageal contractions
1.
Disordered up-and-down movement of bolus, 5-10% of normal adults in 4-6th decade, location: distal 2/3 of oesophagus aetiology: presbyesophagus, diffuse oesophageal spasm, hyperactive achalasia, neuromuscular disease: diabetes, Parkinsonism, ALS, MS, thyrotoxic myopathy, myotonic dystrophy, obstruction of cardia: neoplasm, distal oesophageal stricture, benign lesion, surgery (repair of HH) findings: spontaneous repetitive nonpropulsive contraction (yo-yo motion), corkscrew appearance, compartmentalization of barium (rosary bead, shish kebab)
(12 Dec 1998)
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