Investigation of choice in diffuse esophageal spasm is -
Diffuse esophageal spasm (DES) Motility disorder of the esophagus Representing uncoordinated teiary contractions of the esophagus, Corkscrew esophagus is associated with diffuse esophageal spasm On barium swallow, DES may appear as a corkscrew or rosary bead esophagus, but this is uncommon. Manometry is the gold-standard diagnostic test / investigation of choice. Differential Diagnosis * Hypercontracting esophagus (nutcracker esophagus) has normal peristalsis but high manometric intra-esophageal pressures o Barium swallow will be normal or show dysmotility
Manometry
Esophagoscopy
Barium examination showing teiary contractions
CT thorax
GIT and hepatobiliary system