What is nutcraker esophagus?

• High-amplitude and duration peristaltic waves • Normal peristaltic sequence • Pressure in distal esophagus > 180 mmHg • Normal barium swallow (may be epiphrenic diverticulum) Treatment • Medical treatment: decreases strength of contractions only • Surgical treatment (myotomy): ❖Disappointing for chest pain ❖Relieves dysphagia (80%)