Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

A Mastery Approach to Complex Esophageal DiseasesApproach to Esophageal Motility Disorders

A Mastery Approach to Complex Esophageal Diseases: Approach to Esophageal Motility Disorders [Esophageal motility disorders are a broad category of diseases with a variety of symptoms, ranging from dysphagia to chest pain. The pathophysiology is not always fully understood, but may involve alterations in inhibitory or excitatory innervation of the smooth muscle of the distal esophagus and LES. High-resolution manometry is the gold standard for its diagnosis, and the Chicago classification offers an organizational framework for better evaluation and management. Major disorders of motility are generally pathologic, and include achalasia, EGJOO, DES, hypertensive esophagus, and diseases of absent peristalsis, such as scleroderma. Treatments are targeted at the particular diagnosis. In achalasia, endoscopic and surgical options are preferred. For the remaining motility diagnoses, medical management forms the mainstay of treatment, which can be limited by side effect profiles.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

A Mastery Approach to Complex Esophageal DiseasesApproach to Esophageal Motility Disorders

Editors: Oleynikov, Dmitry; Fisichella, P. Marco
Goldin, Alison; Lo, Wai-Kit
A Mastery Approach to Complex Esophageal Diseases — Apr 21, 2018
Download PDF
13 pages

Loading next page...
 
/lp/springer-journals/a-mastery-approach-to-complex-esophageal-diseases-approach-to-Maq5TcioGP
Publisher
Springer International Publishing
Copyright
© Springer International Publishing AG, part of Springer Nature 2018
ISBN
978-3-319-75794-0
Pages
61 –74
DOI
10.1007/978-3-319-75795-7_5
Publisher site
See Chapter on Publisher Site

Abstract

[Esophageal motility disorders are a broad category of diseases with a variety of symptoms, ranging from dysphagia to chest pain. The pathophysiology is not always fully understood, but may involve alterations in inhibitory or excitatory innervation of the smooth muscle of the distal esophagus and LES. High-resolution manometry is the gold standard for its diagnosis, and the Chicago classification offers an organizational framework for better evaluation and management. Major disorders of motility are generally pathologic, and include achalasia, EGJOO, DES, hypertensive esophagus, and diseases of absent peristalsis, such as scleroderma. Treatments are targeted at the particular diagnosis. In achalasia, endoscopic and surgical options are preferred. For the remaining motility diagnoses, medical management forms the mainstay of treatment, which can be limited by side effect profiles.]

Published: Apr 21, 2018

Keywords: Esophageal motility disorders; Achalasia; High-resolution manometry; Heller Myotomy; Gastroesophageal reflux disease; Diffuse esophageal spasm; Ineffective esophageal motility; Nissen fundoplication; Partial fundoplication

There are no references for this article.