Esophageal dismotility penetration
Try out PMC Labs and tell us what you think. Learn More. Gastroesophageal reflux disease GERD is frequently implicated as a cause for respiratory disease. However, there is growing evidence that upper gastrointestinal dysmotility may play a significantly larger role in genesis of respiratory symptoms and development of underlying pulmonary pathology. This paper will discuss the differential diagnosis for esophageal and gastric dysmotility in aerodigestive patients and will review the key diagnostic and therapeutic interventions for this dysmotility.
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If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. Please consult the latest official manual style if you have any questions regarding the format accuracy. Dysphagia difficulty swallowing must be distinguished from odynophagia pain on swallowing, suggestive of a defect in mucosal integrity, eg, from trauma, irradiation, inflammation, or infection and aphagia inability to swallow, generally suggestive of acute obstruction. Symptoms that do not necessarily correlate with the immediate process of swallowing, such as rumination and globus sensation, should also be discerned. Dysphagia can considered arising from disorders in three anatomic phases of normal swallow Table 13—1 : 1 oral also called preparatory phase, 2 oropharyngeal phase also called transfer dysphagia involving the oropharynx, larynx, and upper esophageal sphincter UES , and 3 esophageal phase, involving the esophageal body, lower esophageal sphincter LES , and gastroesophageal junction GEJ.
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Esophageal dysfunction is a common problem in children with repaired esophageal atresia-tracheoesophageal fistula EA-TEF and considered as a long-term sequel of the cases. Impaired esophageal motility in EA survivors is multifactorial and is attributed to primary abnormality of esophageal innervation and vagal nerve damage during esophageal repair 1. Dysphagia, regurgitation, aspiration and chronic respiratory tract infections are considered as clinical findings of esophageal dysmotility 2. Gibreel et al.
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