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Espasmos esofágicos - Treatment

Nombres alternativos

Espasmos esofágicos difusos; Espasmos del esófago

Tratamiento:

La nitroglicerina administrada debajo de la lengua (sublingual) puede ser efectiva en un episodio agudo de espasmo esofágico. Igualmente, se utilizan nitroglicerina de acción prolongada y antagonistas del calcio para tratar estos espasmos esofágicos.

Los casos prolongados (crónicos) algunas veces se tratan con dosis bajas de antidepresivos, como trazodona o nortriptilina, para reducir los síntomas.

En raras ocasiones, los casos graves pueden necesitar dilatación (ensanchamiento) del esófago o cirugía para controlar los síntomas. Sin embargo, no es claro si estos procedimientos ayudarán.

Expectativas (pronóstico):

Un espasmo esofágico puede aparecer y desaparecer (intermitente) o durar por mucho tiempo ( crónico). Los medicamentos pueden ayudar a aliviar los síntomas.

Complicaciones:

Es posible que la enfermedad no responda al tratamiento.

Situaciones que requieren asistencia médica:

Solicite una cita con el médico si tiene síntomas de espasmo esofágico que no desaparece.

  • Reviewed last on: 11/11/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Kahrilas PJ, Pandolfino JE. Esophageal neuromuscular function and motility disorders. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier;2010:chap 42.

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