Ineffective Esophageal Motility Progressing into Distal Esophageal Spasm and Then Type III Achalasia
نویسندگان
چکیده
The clinical significance of minor esophageal motility disorders is unclear, though they typically carry a benign course. Distal esophageal spasm progressing to achalasia has been reported, although it appears to be rare. We report a case of a patient with dysphagia and chest pain who was found to have ineffective esophageal motility on high-resolution manometry, which developed into distal esophageal spasm and then progressed to type III achalasia.
منابع مشابه
Primary Esophageal Motility Disorders: Beyond Achalasia
The best-defined primary esophageal motor disorder is achalasia. However, symptoms such as dysphagia, regurgitation and chest pain can be caused by other esophageal motility disorders. The Chicago classification introduced new manometric parameters and better defined esophageal motility disorders. Motility disorders beyond achalasia with the current classification are: esophagogastric junction ...
متن کاملA pictorial presentation of 3.0 Chicago Classification for esophageal motility disorders
High resolution manometry changed several esophageal motility paradigms. The 3.0 Chicago Classification defined manometric criteria for named esophageal motility disorders. We present a pictorial atlas of motility disorders. Achalasia types, esophagogastric junction obstruction, absent contractility, distal esophageal spasm, hypercontractile esophagus (jackhammer), ineffective esophageal motili...
متن کاملEsophageal motility disorders: medical therapy.
Symptoms of chest pain and dysphagia are common in the adult population. Most patients initially undergo an evaluation to exclude anatomic causes (ie, esophagitis, stricture) and cardiovascular disease as the etiology of these symptoms. Patients with persistent symptoms may then be referred for specialized testing of the esophagus, including esophageal manometry. Disorders of esophageal motilit...
متن کاملReinterpretation of Follow-Up, High-Resolution Manometry for Esophageal Motility Disorders Based on the Updated Chicago Classification
The aim of this study was to assess changes between primary classification of esophageal motility disease and follow-up classification by high resolution manometry (HRM) and to determine whether previously classified diseases could be recategorized according to the updated Chicago Classification published in 2011. We reviewed individual medical records and HRM findings twice for each of 13 subj...
متن کاملPer oral endoscopic myotomy (POEM) for all spastic esophageal disorders?
Achalasia is a rare esophageal motility disorder defined as impaired relaxation of the esophagogastric junction (EGJ) and the absence of esophageal peristaltic contractions. High resolution manometry (HRM) is now the gold standard for the diagnosis of achalasia. Pandolfino et al. proposed classifying achalasia into three subtypes based on esophageal contraction patterns on HRM [1]. In the most ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 3 شماره
صفحات -
تاریخ انتشار 2016