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A barium swallow examination showed a corkscrew appearance characteristic of diffuse
esophageal spasm (DES) (Fig. 1A). Esophageal manometry showed simultaneous and multiple peaked contractions associated
with more than 20% of wet swallows, whereas mean the simultaneous contraction amplitude
was over 30 mm Hg (Fig. 1B). Therefore, the patient received a diagnosis of DES.
Figure 1A, Barium swallow examination showing corkscrew appearance characteristic of diffuse
esophageal spasm. B, Esophageal manometry showing simultaneous and multiple peaked contractions associated
with more than 20% of wet swallows, and mean simultaneous contraction amplitude was
over 30 mmHg.
