A proton-pump inhibitor had been prescribed 3 years before presentation and did not provide relief. The patient was referred for evaluation. [nejm.org]

however, without the appearance of a corkscrew esophagus Usually occurs over the age of 50 Normal esophageal manometry is present, at least intermittently Clinical Findings Chest pain is the hallmark Dysphagia Heartburn Regurgitation Imaging Findings [learningradiology.com]

Esophagitis Patients present with dyspepsia, chest pain, nausea and vomiting. [explainmedicine.com]

Medical records were also reviewed to determine the clinical presentation, treatment, and patient course. All 14 patients were symptomatic, presenting with dysphagia, chest pain, or both. [scienceopen.com]

Presentation: History of alcohol intake and an episode of vomiting with blood Caused by forceful vomiting. Associated with alcohol use, upper endoscopy showing superficial longitudinal mucosal erosions Treatment: Supportive. [smartypance.com]

• Surgical Procedure

  In advanced cases, when the esophageal anatomy is markedly distorted or when malignancy develops, esophagectomy becomes the surgical procedure of choice. [emedicine.medscape.com]

  This will require a surgical procedure to rectify. The symptoms can be food intolerance, full feeling, nausea and/or vomiting. [dssurgery.com]

  Surgical incision of the LES (Heller myotomy) performed laparoscopically has replaced that performed by open surgery. The surgical procedure is effective and is often performed when pneumatic dilation fails. [nature.com]

• Pathologist

  This book will be of value to all specialists involved in the evaluation and treatment of dysphagia, including ENT surgeons, thoracic surgeons, speech and language pathologists, phoniatricians, gastroenterologists, neurologists, and radiologists. [books.google.com]

  Speech-language pathologists with special training in swallowing assessment and therapy are helpful in the evaluation and management of these patients. [nature.com]

• Aspiration

  Swallow; Functional Endoscopic Evaluation of Swallowing; Esophageal Disease; Ancillary Testing in the Evaluation of Dysphagia; Malnutrition and Dehydration; Management of Cricopharyngeal Dysfunction; Zenker’s Diverticulum; Glottal Insufficiency with Aspiration [books.google.com]

  Complications • Aspiration pneumonia. • Esophageal carcinoma. 18. Aspiration pneumonia 19. [slideshare.net]

  If the disease is severe enough to cause weight loss or aspiration pneumonia, the patient may require placement of a feeding gastrostomy or jejunostomy. [nature.com]

  The clinical presentation can be dysphagia, regurgitation, aspiration or a mass or air-fluid level on neck or chest radiographs. [radiologyassistant.nl]

  Breathing Difficulties – The acid aspiration while sleeping can make asthma and other breathing difficulties worst and can cause coughing and other issues. [dssurgery.com]

• Cough

  Patients may cough up or vomit blood or see it in their stool as dark tarry or coffee ground type stool. [dssurgery.com]

  On the morning of this presentation, he awoke with food remnants in his nostrils and persistent coughing. The patient reported progressive difficulty with swallowing solids and liquids. [aafp.org]

  Reflux-related symptoms - eg, heartburn, regurgitation, cough and hoarseness. [patient.info]

  The most distinguishing feature of dysphagia due to pharyngeal causes is the misdirection of food into the nose or the lungs, resulting in the complaint of nasal regurgitation of food and choking and coughing during swallowing. [nature.com]

• Dysphagia

  Among topics presented are: Etiology of Dysphagia; Dysphagia Screening and Assessment Instruments; The Modified Barium Swallow; Functional Endoscopic Evaluation of Swallowing; Esophageal Disease; Ancillary Testing in the Evaluation of Dysphagia; Malnutrition [books.google.com]

  A 74-year-old man presented with a 30-year history of intermittent dysphagia and regurgitation, which his doctor had initially referred to as a “hysterical reaction.” [nejm.org]

  This is particularly true in patients with severe functional dysphagia: in a series of 156 consecutive patients with a severe degree of dysphagia that required treatment by pneumatic dilatations, the nature of the underlying motility disorders was analysed [healthonnet.org]

• Regurgitation

  A 74-year-old man presented with a 30-year history of intermittent dysphagia and regurgitation, which his doctor had initially referred to as a “hysterical reaction.” [nejm.org]

  Excessive regurgitation of food. Causes Chronic Gastroesophageal Reflux Disease (GERD) results in this condition. [digestion.ygoy.com]

  Patients present with dysphagia, regurgitation of undigested food particles and chest pain. [explainmedicine.com]

  In patients with achalasia, the chief complaint is dysphagia to both solids and liquids, although regurgitation, retrosternal pain, and weight loss may also occur. [amboss.com]

  Regurgitation. Dysphagia. Odenophagia. Dilated esophagus with smooth tapering of its lower end giving bird beaks appearance. Absent primary peristalsis. Repitive (>30%) tertiary non propulsive contractions giving cork screw appearance. [slideshare.net]

• Dyspepsia

  Esophagitis Patients present with dyspepsia, chest pain, nausea and vomiting. [explainmedicine.com]

• Solid Dysphagia

  The main symptom of achalasia is dysphagia that is often to both liquids and solids. Dysphagia is mainly localized to the lower chest but sometimes it may also be localized to the neck. [nature.com]

• Muscle Spasm

  Turmeric Tea According to Turmeric For Health Website, Turmeric is a great natural cure for muscle spasms. Since spasms in the esophagus are caused by muscles contracting, it can work great on these painful occurrences too. [chronicbodypain.net]

Barium shallow shows dialation of esophagus with narrowing of the distal esophagus. the treatment of choice is .. [pguploads.wordpress.com]

Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances. [books.google.com]

Esophageal Motility Disorders Treatment & Management. Eric A Gaumnitz, and Abdullah Fayyad. eMedicine [learningradiology.com]

However, these results are from highly specialised centres. [ 1 ] Surgery seems less effective for NE. [ 7 ] Prognosis [ 3 ] The prognosis is probably good, in that the (limited) evidence so far suggests that most patients have an improvement in symptoms [patient.info]

Is the failure of the LES to relax, or the presence of secondary peristaltic waves, indicative of a poor prognosis after surgery ? H.J. Stein. T.R. DeMeester (Omaha) 230. How to interpret the findings of low motor amplitude in DES and achalasia ? J. [hon.ch]

Among topics presented are: Etiology of Dysphagia; Dysphagia Screening and Assessment Instruments; The Modified Barium Swallow; Functional Endoscopic Evaluation of Swallowing; Esophageal Disease; Ancillary Testing in the Evaluation of Dysphagia; Malnutrition [books.google.com]

Etiology is unknown but may be related to loss of inhibitory neurones in the distal esophagus. [radiopaedia.org]

Treat with endoscopic dilation Esophageal varices (ReelDx) Dilated veins in the distal esophagus or proximal stomach caused by elevated pressure in the portal venous system, typically from cirrhosis Presentation: Often asymptomatic until hematemesis Etiology [smartypance.com]

Etiology 1ry ACHALASIA •Degeneration of the Aeurbach’s plexus. 2ry ACHALASIA • Neoplastic. • Chagas disease. • Postoperative (laparoscopic Nissen fundoplication). 15. [slideshare.net]

Altura BM, Altura BT, Carella A, Turcapaty PD: Hypomagnesemia and vasoconstriction: Possible relationship to etiology of sudden death ischemic heart disease and hypertensive vascular diseases. Artery 1981;9:212–231. [karger.com]

Epidemiology References: [1] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]

[…] muscle thickening in the oesophageal wall. [ 3 ] DES has been reported to be found in conjunction with other disorders, including anxiety and depression, diabetes mellitus, alcoholic neuropathies, pseudo-obstruction, amyloidosis and scleroderma. [ 2 ] Epidemiology [patient.info]

We review the pathophysiology of this finding, correlating it to corkscrew and rosary images that originated this classic description. KEYWORDS: Barium; Esophageal motility disorders; Esophagus; Radiography; Upper gastrointestinal tract [ncbi.nlm.nih.gov]

We review the pathophysiology of this finding, correlating it to corkscrew and rosary images that originated this classic description. [link.springer.com]

A second outstanding feature of this volume is its success in balanc ing basic pathophysiology with practical considerations of clinical man agement. [books.google.com]

Massry SG: The clinical pathophysiology of magnesium; in Ritz E, Massry SG, Heidland A, Schaefer K (eds): Pathophysiological Problems in Clinical Nephrology. Contrib Nephrol. Basel, Karger, 1978, vol 14, pp 64–73. [karger.com]

DES and achalasia are thought to share the pathophysiological feature of defective inhibitory neural signaling. 4,9 The notion, however, that DES could progress to achalasia remains a source of debate. [acgcasereports.gi.org]

All chapters follow a consistent template including the following features: - An opening bottom-line/key points section - Classification, pathogenesis and prevention of disease - Evidence-based diagnosis, including relevant algorithms, laboratory and [books.google.com]

The upper esophageal sphincter (UES) is comprised of several striated muscles, creating a tonically closed valve and preventing air from entering into the gastrointestinal tract. [emedicine.medscape.com]

Motility (structural deformity) problems of the sphincter muscle at the base of the esophagus, which prevents swallowed food from making its way back to the esophagus. Nervous breakdowns, anxiety, stress or panic attacks. [digestion.ygoy.com]

Esophageal achalasia affects one per 100,000 persons annually. 1 It is a motor disorder of the lower esophagus that is caused by a loss of the myenteric plexus of neurons. 2 The lower esophageal sphincter (LES) fails to relax properly, which prevents [aafp.org]