Skip to main content

Neuro-gastroenterology: Esophagogastric Function (Motility)

  • Chapter
  • First Online:
Functional Dyspepsia
  • 419 Accesses

Abstract

The role of the esophagus is to transport food to the stomach rapidly and safely. The transportation of food is controlled by the complex esophageal motility of the upper and lower esophageal sphincters which operate in a precise manner to produce peristaltic contraction. Patients with functional esophageal diseases such as gastroesophageal reflux disease (GERD), esophageal achalasia, and ineffective esophageal motility (IEM) often suffer from various symptoms of dyspepsia, including dysphagia, chest pain, heartburn, epigastralgia, bloating, nausea, foreign-body sensation, and discomfort.

On the other hand, functional dyspepsia (FD) is mainly caused by gastric functional disorder, but its symptoms often coincide with GERD. Therefore, distinguishing the two diseases may be difficult as there are common pathological conditions. Motility function disorders such as impaired gastric accommodation and delayed gastric emptying reduce clearance in the upper gastrointestinal tract and become the cause of both diseases and an exacerbating factor. Although the stomach and esophagus are anatomically different organs, they are considered to form one unit of the upper gastrointestinal tract that serves the same purpose of achieving digestion.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Vakil N, van Zanten SV, Kahrilas P, Dent J, Jones R, Global Consensus Group. The Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus. Am J Gastroenterol. 2006;101:1900–20.

    Article  PubMed  Google Scholar 

  2. Dodds WJ, Dent J, Hogan WJ, Helm JF, Hauser R, Patel GK, Egide MS. Mechanisms of gastroesophageal reflux in patients with reflux esophagitis. N Engl J Med. 1982;307:1547–52.

    Article  CAS  PubMed  Google Scholar 

  3. Cho YK, Choi MG, Lim CH, Kim JS, Park JM, Lee IS, Kim SW, Choi KY. Impaired esophageal bolus transit in patients with gastroesophageal reflux disease and abnormal esophageal acid exposure. Gut Liver. 2012;6:440–5.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Botoman VA. How effective are we at understanding ineffective esophageal motility? Gastrointest Endosc. 2008;68(3):432.

    Article  PubMed  Google Scholar 

  5. Spechler SJ, Castell DO. Classification of oesophageal motility abnormalities. Gut. 2001;49:145–51.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Tutuian R, Castell DO. Combined multichannel intraluminal impedance and manometry clarifies esophageal function abnormalities: study in 350 patients. Am J Gastroenterol. 2004;99:1011–9.

    Article  PubMed  Google Scholar 

  7. Odaka T, Yamato S, Yokosuka O. Esophageal motility and rikkunshito treatment for proton pump inhibitor-refractory nonerosive reflux disease: a prospective, uncontrolled, open-label pilot study trial. Curr Ther Res Clin Exp. 2017;84:37–41.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Miwa H, Minoo T, Hojo M, Yaginuma R, Nagahara A, Kawabe M, Ohkawa A, Asaoka D, Kurosawa A, Ohkusa T, Sato N. Oesophageal hypersensitivity in Japanese patients with non-erosive gastro-oesophageal reflux diseases. Aliment Pharmacol Ther. 2004;20:112–7.

    Article  PubMed  Google Scholar 

  9. Kahrilas PJ, Bredenoord AJ, Fox M, Gyawali CP, Roman S, Smout AJ, Pandolfino JE, International High Resolution Manometry Working Group. The Chicago classification of esophageal motility disorders, v3.0. Neurogastroenterol Motil. 2015;27(2):160–74.

    Article  CAS  PubMed  Google Scholar 

  10. Kaji M, Fujiwara Y, Shiba M, Kohata Y, Yamagami H, Tanigawa T, Watanabe K, Watanabe T, Tominaga K, Arakawa T. Prevalence of overlaps between GERD, FD and IBS and impact on health-related quality of life. J Gastroenterol Hepatol. 2010;25(6):1151.

    Article  PubMed  Google Scholar 

  11. Salet GA, Samsom M, Roelofs JM, van Berge Henegouwen GP, Smout AJ, Akkermans LM. Responses to gastric distension in functional dyspepsia. Gut. 1998;42:823–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Asano H, Tomita T, Nakamura K, Yamasaki T, Okugawa T, Kondo T, Kono T, Tozawa K, Ohda Y, Oshima T, Fukui H, Fukushima K, Hirota S, Watari J, Miwa H. Prevalence of gastric motility disorders in patients with functional dyspepsia. J Neurogastroenterol Motil. 2017;23:392–9.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Mearin F, Mourelle M, Guarner F, Salas A, Riveros-Moreno V, Moncada S, Malagelada JR. Patients with achalasia lack nitric oxide synthase in the gastro-oesophageal junction. Eur J Clin Investig. 1993;23:724–8.

    Article  CAS  Google Scholar 

  14. Desai KM, Sessa WC, Vane JR. Involvement of nitric oxide in the reflex relaxation of the stomach to accommodate food or fluid. Nature. 1991;351:477–9.

    Article  CAS  PubMed  Google Scholar 

  15. Koseki J, Oshima T, Kondo T, Tomita T, Fukui H, Watari J, Hattori T, Kase Y, Miwa H. Role of transient receptor potential ankyrin 1 in gastric accommodation in conscious guinea pigs. J Pharmacol Exp Ther. 2012;341:205–12.

    Article  CAS  PubMed  Google Scholar 

  16. H P, Tack J, Walrand S, Pauwels S, Geubel A. Intragastric distribution of a standardized meal in health and functional dyspepsia: correlation with specific symptoms. Neurogastroenterol Motil. 2003;15:447–55.

    Article  Google Scholar 

  17. Fujikawa Y, Tominaga K, Tanaka F, Kamata N, Yamagami H, Tanigawa T, Watanabe T, Fujiwara Y, Arakawa T. Postprandial symptoms felt at the lower part of the epigastrium and a possible association of pancreatic exocrine dysfunction with the pathogenesis of functional dyspepsia. Intern Med. 2017;56:1629–35.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Takeo Odaka .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Odaka, T. (2018). Neuro-gastroenterology: Esophagogastric Function (Motility). In: Tominaga, K., Kusunoki, H. (eds) Functional Dyspepsia. Springer, Singapore. https://doi.org/10.1007/978-981-13-1074-4_6

Download citation

  • DOI: https://doi.org/10.1007/978-981-13-1074-4_6

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-1073-7

  • Online ISBN: 978-981-13-1074-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics