ESOPHAGEAL DYSMOTILITY TREATMENT
https://www.michaelpitmanmd.com/
Esophageal Dysmotility: Presenting most often in older patients, esophageal dysmotility occurs when the esophagus is not contracting normally, making it difficult to swallow food. It can be caused by a variety of factors, including neurological conditions, the lower esophageal sphincter not opening, autoimmune diseases, or age.
● Symptoms: Patients usually complain about food travelling very slowly down to the stomach, discomfort behind the chest, or even food becoming lodged in the esophagus. (see “Presentation/Symptoms” video below)
● Diagnosis: A visual examination of the esophagus can reveal abnormal contractions. A Barium study, in which a patient swallows some barium, can also be performed to examine the contractions of the esophagus. The most accurate diagnosis is made using an esophageal manometer - a catheter placed in the esophagus while the patient swallows some water. (see “Diagnosis” video below)
● Treatments for esophageal dysmotility vary and usually involve treating the underlying cause of the dysmotility. Treating the dysmotility itself is difficult, especially in older patients. (see “Treatment” video below)
● Prognosis depends on the diagnosis. Some patients respond very well to intermittent dilation or to treatment of their underlying disorder, while other cases are more difficult and require medical therapy, significant surgery or a dietary modification. (see “Prognosis” video below)
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