Update in the diagnosis and treatment of esophageal motility disorders

Research output: Contribution to journalArticle

Abstract

Esophageal motility disorders (EMDs) represent a diverse group of conditions that alter normal peristalsis and passage of food from the esophagus into the stomach. Symptoms most commonly include dysphagia and chest pain. Differentiation from other common conditions such as coronary artery disease, gastroesophageal reflux disease and malignancy may be difficult. Standard evaluation includes upper endoscopy, barium esophagram and high-resolution esophageal manometry. The best-characterized EMD is achalasia, which causes esophageal aperistalsis and a poorly relaxing lower esophageal sphincter (LES). Treatment of achalasia focuses on reducing the pressure of the LES to allow gravity to enable passage of food into the stomach. Pneumatic dilation and laparoscopic Heller myotomy (LHM) with fundoplication are the standard treatments for achalasia. Per-oral endoscopic myotomy (POEM) represents the newest endoscopic treatment for achalasia and early data suggests efficacy comparable to that of Heller myotomy.

Original languageEnglish (US)
Pages (from-to)15-17 and 23-24
JournalPractical Gastroenterology
Volume43
Issue number3
StatePublished - Mar 2019

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Esophageal Motility Disorders
Esophageal Achalasia
Lower Esophageal Sphincter
Stomach
Food
Peristalsis
Fundoplication
Manometry
Gravitation
Barium
Therapeutics
Deglutition Disorders
Gastroesophageal Reflux
Chest Pain
Esophagus
Endoscopy
Coronary Artery Disease
Dilatation
Pressure
Neoplasms

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Update in the diagnosis and treatment of esophageal motility disorders. / DeWitt, John.

In: Practical Gastroenterology, Vol. 43, No. 3, 03.2019, p. 15-17 and 23-24.

Research output: Contribution to journalArticle

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