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Other Esophageal Motility Disorders: Role for Laparoscopic or Endoscopic Myotomy

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Abstract

The best-defined primary esophageal motor disorder (PEMD) is achalasia. However, symptoms such as dysphagia, regurgitation, and chest pain can be caused by other esophageal motility disorders such as diffuse esophageal spasm (DES), nutcracker esophagus (NE), and the hypertensive lower esophageal sphincter (HTN-LES). Albeit they have a much lower prevalence than achalasia, they need to be considered in the differential diagnosis of a patient presenting with these symptoms. Unfortunately, while there is a reasonable consensus on the pathophysiology, diagnosis, and treatment of achalasia, this has not occurred for these other disorders.

This study will focus on the definition of these disorders, the criteria for their diagnosis, and the role of endoscopic and surgical treatment.

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Author information

Authors and Affiliations

  1. Surgery and Center for Esophageal Diseases and Swallowing, University of North Carolina, Chapel Hill, NC, USA

    Francisco Schlottmann

  2. Department of Surgery and Center for Esophageal Diseases and Swallowing, University of North Carolina, Chapel Hill, NC, USA

    Marco G. Patti

Authors
  1. Francisco Schlottmann
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  2. Marco G. Patti
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Correspondence to Marco G. Patti .

Editor information

Editors and Affiliations

  1. University of Alabama at Birmingham , Birmingham, AL, USA

    Jayleen Grams

  2. The Ohio State University, Columbus, OH, USA

    Kyle A. Perry

  3. Brigham and Women’s Hospital, Boston, MA, USA

    Ali Tavakkoli

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Schlottmann, F., Patti, M.G. (2019). Other Esophageal Motility Disorders: Role for Laparoscopic or Endoscopic Myotomy. In: Grams, J., Perry, K., Tavakkoli, A. (eds) The SAGES Manual of Foregut Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-96122-4_42

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  • DOI: https://doi.org/10.1007/978-3-319-96122-4_42

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-96121-7

  • Online ISBN: 978-3-319-96122-4

  • eBook Packages: MedicineMedicine (R0)

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