Functional abnormalities of the esophagus: a prospective analysis of radiographic findings relative to age and symptoms.

Grishaw, E. K.; Ott, David J.; Frederick, M G; Gelfand, DW; Chen, M. Y. M.

doi:10.2214/ajr.167.3.8751689

Cited by 58 publications

(21 citation statements)

References 6 publications

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“…It is recognized that the patient's localization of symptoms is an unreliable guide to the site of dysfunction or disease and that simultaneous abnormality of the pharynx and esophagus occurs in 35% of patients with dysphagia [4,[23][24][25][26][27][28][29][30][31][32]. The detection of a significant motility disorder in 19 of our patients (14% of cases) highlights the value of the barium swallow in the detection of such disorders.…”

Section: Discussionmentioning

confidence: 98%

The oblique pharyngogram: value in the assessment of dysphagia

et al. 1999

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Section: Discussionmentioning

confidence: 98%

The oblique pharyngogram: value in the assessment of dysphagia

et al. 1999

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“…1) [8]. These disorders appear to be more than a simple manometric curiosity, because radiologic studies have demonstrated poor bolus clearance from the esophagus in older patients [9]. If presbyesophagus truly exists, these…”

Section: Esophageal Bodymentioning

confidence: 99%

“…A barium examination may help to exclude complications of reflux, Zenker's diverticula, and other findings such as compression of the esophagus by the aorta or an enlarged atrium. An increased number of disordered "tertiary" contractions on barium examination has not correlated well with esophageal symptoms, although there is good correlation with manometric changes [9]. Esophageal manometry may uncover a primary motility disorder such as achalasia, diffuse esophageal spasm, or scleroderma-like esophagus.…”

Section: Esophageal Bodymentioning

confidence: 99%

Presbyesophagus: A reappraisal

DeVault

2002

Curr Gastroenterol Rep

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The gastrointestinal tract undergoes change with aging, and the esophagus is not exempt from those changes. Failure of peristalsis in the older esophagus was labeled "presbyesophagus" over 35 years ago. Modern manometric techniques and classification systems have challenged this concept, yet there are clearly age-related changes in the esophagus. The lower esophageal sphincter changes little. Esophageal peristalsis (body) is more likely to fail in older patients, but some of this failure may be caused by damage from gastroesophageal reflux disease. The pharynx and upper esophageal sphincter also undergo age-related changes in health and disease. The ability to sense events in the esophagus fails with aging, which may cause patients with severe mucosal disease to present with less severe symptoms. Failure of the esophagus thus does not appear to be an inevitable consequence of aging, but the esophagues does undergo change with aging, and these changes should be considered in evaluation of older patients with esophageal complaints.

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“…This finding is in accordance with the results of earlier investigations. 27,28 However, this does not imply that ineffective motility, with a weak LES, must necessarily lead to GERD, as this study also shows. 29 In group 3, hiatal hernias were found in 87% of the patients during esophageal manometry and gastroscopy.…”

Section: Discussionmentioning

confidence: 63%