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- Source: Esophageal motility disorder
- Esophageal motility disorder
- Nutcracker esophagus
- Esophageal motility study
- Esophageal dysphagia
- Esophageal achalasia
- Esophageal stricture
- Gastroesophageal reflux disease
- Esophageal disease
- Esophageal candidiasis
- Esophagogastric junction outflow obstruction
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An esophageal motility disorder (EMD) is any medical disorder resulting from dysfunction of the coordinated movement of esophagus, which causes dysphagia (i.e. difficulty in swallowing, regurgitation of food).
Primary motility disorders are:
Achalasia
Diffuse esophageal spasm
Nutcracker esophagus
Hypertensive lower esophageal sphincter
An esophageal motility disorder can also be secondary to other diseases. For example, it may be a result of CREST syndrome, referring to the five main features: calcinosis, Raynaud syndrome, esophageal dysmotility, sclerodactyly and telangiectasia.
Symptoms
The most common symptom of esophageal motility disorders is dysphagia. Compared to causes of mechanical obstruction, which usually coincide with difficulties only with solids, dysphagia occurs in both solid foods and liquids. Heartburn, odynophagia, chest pain, and dyspnea are frequent symptoms of esophageal motility disorders, as they are in other esophageal disorders. Advanced achalasia is characterized by regurgitation of previously swallowed, undigested food material. Individuals with diffuse esophageal spasm or nutcracker esophagus, due to disordered peristalsis propagation, may experience severe chest pain and dysphagia, mimicking cardiac ischemia.
Achalasia's most common symptoms include dysphagia (difficulty swallowing solids and liquids), regurgitation of undigested food, respiratory issues (aspiration and nocturnal cough), chest pain, and weight loss.
Diffuse esophageal spasm (DES) is a motility disorder characterized by recurrent episodes of chest pain or dysphagia as well as nonpropulsive (tertiary) contractions on radiographs.
Nutcracker esophagus is characterized by high-amplitude peristaltic contractions that are frequently prolonged and cause dysphagia and chest pain.
HLES (hypertensive lower esophageal sphincter) is a rare manometric abnormality seen among individuals with dysphagia, chest pain, gastroesophageal reflux, and hiatal hernia.
Diagnosis
Testing to diagnose EMD includes barium esophagography, upper endoscopy, and esophageal manometry.
Treatment
There is no cure for EMD, but symptoms can be managed. Some symptom management includes eating slower and taking smaller bites; in some cases medications can be useful to manage other issues that contribute to EMD such as a proton pump inhibitor to ease gastroesophageal reflux (acid reflux), or a smooth muscle relaxant for issues with the muscles.
See also
Functional Lumen Imaging Probe
References
External links
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Artikel Terkait "esophageal motility disorder"
Primary Esophageal Motility Disorders - Mayo Clinic Proceedings
Although there are many disorders of esophageal motility, including nonspecific esophageal motility disorder (NSMD), achalasia, diffuse esophageal spasm (DES), nutcracker esophagus (NE), and hypertensive LES, this article focuses on the 3 most studied: achalasia, DES, and NE.
Esophageal Dysmotility: Symptoms, Conditions, Treatment
20 Nov 2024 · Esophageal dysmotility (esophageal motility disorders) is when your esophagus doesn’t move food and liquid to your stomach like it should. Symptoms include chest pain, heartburn and trouble swallowing food and fluid.
Esophageal motility disorder - Wikipedia
An esophageal motility disorder (EMD) is any medical disorder resulting from dysfunction of the coordinated movement of esophagus, which causes dysphagia (i.e. difficulty in swallowing, regurgitation of food).
Esophageal Motility Disorders - StatPearls - NCBI Bookshelf
27 Nov 2022 · Major motility disorders are usually universally symptomatic and have deleterious impact on the patient's quality of life. Prompt action is needed to diagnose the illness promptly, stop its progression, and initiate appropriate treatment.
Esophageal Motility Disorders: Current Approach to ...
16 Jul 2021 · In this review, we discuss the current approach to diagnosis and therapeutics of various esophageal motility disorders. We start with review of the diagnostic tools followed by evaluation and management of disorders of esophagogastric junction (EGJ) and disorders of esophageal peristalsis.
Esophageal Motility Disorders | AAFP
01 Sep 2020 · Esophageal motility disorders can cause chest pain, heartburn, or dysphagia. They are diagnosed based on specific patterns seen on esophageal manometry, ranging from the complete...
Esophageal Motility Disorders
Esophageal motility disorders involve dysfunction of the esophagus that causes symptoms such as dysphagia, heartburn, and chest pain. (See also Overview of Esophageal and Swallowing Disorders.)
Esophageal Motility Disorders - Gastrointestinal Disorders ...
Esophageal motility disorders involve dysfunction of the esophagus that causes symptoms such as dysphagia, heartburn, and chest pain. (See also Overview of Esophageal and Swallowing Disorders.) Systemic disorders causing esophageal dysmotility include.
Esophageal Motility Disorders - Esophageal Motility Disorders ...
Esophageal motility disorders involve dysfunction of the esophagus that causes symptoms such as dysphagia, heartburn, and chest pain. (See also Overview of Esophageal and Swallowing Disorders.) Systemic disorders causing esophageal dysmotility include.
Esophageal Dysmotility: Types, Causes, Meal Time
13 Jul 2023 · Esophageal dysmotility is when the muscles in the throat are not working as well as they should. It is a group of conditions with symptoms such as chest pain, difficulties in swallowing (dysphagia), or heartburn.