Tertiary esophageal contractions (scleroderma)

Discussion:

Predominant finding of dysmotility with mid/lower esophagus tertiary contractions and mild reflux. The relatively normal upper esophagus suggests sparing of striated muscle, with smooth muscle involvement.

Further manometry study revealed complete relaxation of the lower esophageal sphincter but infrequent and weak peristaltic contractions, consistent with esophageal involvement of scleroderma.

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