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esophageal dysmotility
Disorders of esophageal motility.
Clinical manifestations:
- dysphagia for both solid & liquid foods suggests motility disorder
- pulmonary aspiration
- chest pain [1]
Special laboratory:
1) esophageal mannometry
2) reproduction of symptoms by balloon distension suggest functional esophageal dysmotility
Management:
1) see specific disorder
2) metoclopramide for reduced esophageal peristalsis
- long-term therapy can cause tardive dyskinesia, limit therapy to 12 weeks
2) tricyclic antidepressants may alleviate symptoms of functional dysmotility disorder
Specific
achalasia (cardiospasm)
esophageal spasm
presbyesophagus
General
esophageal disease
gastrointestinal (GI) dysmotility
References
- Medical Knowledge Self Assessment Program (MKSAP) 11, 16.
American College of Physicians, Philadelphia 1998, 2012
- Lacy BE, Weiser K.
Esophageal motility disorders: medical therapy.
J Clin Gastroenterol. 2008 May-Jun;42(5):652-8
PMID: 18364589