According to medical professionals at HealthTap, a twisted oesophagus is one that is out of place from its natural location between the mouth and the stomach. One common reason for a twisted oesophagus is a hiatal hernia.
According to Dr. Oelschlager for Gastroenterology & Hepatology, a misalignment or change in orientation of the oesophagus where it connects to the stomach at the diaphragm can also result in a convoluted oesophagus.
The oesophagus in a healthy person is a straight pipe. As a result, an oesophagus that is convoluted and causes the pipe to twist, flex, and narrow may be excruciatingly uncomfortable, according to HealthTap.
According to HealthTap, a twisted oesophagus is frequently present in older patients who do not have a hiatal hernia but is as common in those who do. According to HealthTap and MedlinePlus, this type of hernia results from the protrusion of a piece of the stomach into the chest cavity through a gap or weak spot in the diaphragm. It can also result in gastroesophageal reflux disease.
According to the Division of General Surgery at the University of California, San Francisco, a convoluted oesophagus might obstruct other surgical procedures like a partial fundoplication, which ordinarily follows a laparoscopic Heller myotomy, a surgery where the esophageal muscle is severed.