Primary esophageal dysmotility
Absence of esophageal peristalsis and impaired relaxation of the lower esophageal sphincter (LES)
1 to 2/100,000 population/year (1)
Dysphagia to solids and liquids, gradually worsening over time (1,2)
Regurgitation (most commonly at night in the recumbent position) (1,2)
Can result in nocturnal cough and aspiration
Primary goal of management is to prevent complications and preserve esophageal structure and function.
Oral/sublingual medications provide short-term treatment and are not as ...
Obtain a posttreatment barium study to evaluate for resolution.
Consider proton pump inhibitor in patients with reflux symptoms.
Reassess for treatment failure or r...
266434009 Esophageal dysmotility
45564002 Achalasia of esophagus
715192004 Idiopathic achalasia of esopha...
Achalasia is a rare, idiopathic disorder of esophageal motility.
HREM allows for disease subclassification, which impacts treatment outcomes.
Perform EGD on all patients with achalasia t...
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