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J Korean Dysphagia Soc 2015; 5(2): 49-56

Published online July 1, 2015

Copyright © The Korean Dysphagia Society.

Assessment and Management of Primary Esophageal Motility Disorders: Achalasia and Distal Esophageal Spasm

Tae Hee Lee, M.D., Ph.D.

Institute for Digestive Research, Digestive Disease Center Soonchunhyang University College of Medicine, Seoul, Korea

Abstract

Primary esophageal motility disorders can be present with various symptoms like dysphagia, chest pain, regurgitation, heartburn, nausea, vomiting, or weight loss. And they show various abnormal manometry findings. Recent development in the diagnostic techniques (e.g. high-resolution esophageal manometry) provide better understanding of esophageal movement and a new classification of esophageal motility disorders. This paper is aimed to review the primary esophageal motility disorders and provide its assessment and management strategy to the physicians who encounter these disorders.

Keywords: Achalasia, Assessment, Distal esophageal spasm, Management

Article

Review Article

J Korean Dysphagia Soc 2015; 5(2): 49-56

Published online July 1, 2015

Copyright © The Korean Dysphagia Society.

Assessment and Management of Primary Esophageal Motility Disorders: Achalasia and Distal Esophageal Spasm

Tae Hee Lee, M.D., Ph.D.

Institute for Digestive Research, Digestive Disease Center Soonchunhyang University College of Medicine, Seoul, Korea

Abstract

Primary esophageal motility disorders can be present with various symptoms like dysphagia, chest pain, regurgitation, heartburn, nausea, vomiting, or weight loss. And they show various abnormal manometry findings. Recent development in the diagnostic techniques (e.g. high-resolution esophageal manometry) provide better understanding of esophageal movement and a new classification of esophageal motility disorders. This paper is aimed to review the primary esophageal motility disorders and provide its assessment and management strategy to the physicians who encounter these disorders.

Keywords: Achalasia, Assessment, Distal esophageal spasm, Management

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