Laparoscopic esophagomyotomy with posterior partial fundoplication for primary esophageal motility disorders

2000 ◽  
Vol 14 (8) ◽  
pp. 746-749 ◽  
Author(s):  
J. K. Champion ◽  
N. Delisle ◽  
T. Hunt
Keyword(s):  
Esophageal Motility ◽  
Esophageal Motility Disorders ◽  
Partial Fundoplication ◽  
Motility Disorders ◽  
Primary Esophageal Motility Disorders

Long-Term Outcomes of POEM for Primary Esophageal Motility Disorders

2021 ◽  
Author(s):  
Christine Tat ◽  
Matthew Kroh
Keyword(s):  
Esophageal Motility ◽  
Heller Myotomy ◽  
Symptomatic Relief ◽  
Laparoscopic Heller Myotomy ◽  
Esophageal Motility Disorders ◽  
Antireflux Procedure ◽  
Partial Fundoplication ◽  
Motility Disorders ◽  
Primary Esophageal Motility Disorders

AbstractSince peroral endoscopic myotomy (POEM) emerged in 2010 as a treatment for achalasia, more than 7,000 procedures have been performed in the world. The main indication for POEM continues to be achalasia, which is a rare esophageal motility disorder characterized by impaired lower esophageal sphincter relaxation and aperistalsis. POEM has also been applied in other types of primary esophageal motility disorders. Short-term outcomes indicate that POEM has comparable results to laparoscopic Heller myotomy in terms of efficacy and safety. Studies show decrease in Eckardt scores after POEM as a reflection of symptomatic relief. Now, a decade after its introduction, long-term data have emerged for POEM and demonstrates that POEM remains effective and safe. Both POEM and laparoscopic Heller myotomy are associated with postinterventional gastroesophageal reflux disease (GERD). Antireflux mechanisms are disrupted during the procedures. However, the rate of GERD is higher after POEM than with laparoscopic Heller myotomy. Laparoscopic Heller myotomy is commonly performed with a partial fundoplication to reduce antireflux, but POEM is not typically combined with an antireflux procedure. Further studies should examine the long-term effects of postinterventional GERD.

Botulinum Toxin Reduces Dysphagia in Patients With Nonachalasia Primary Esophageal Motility Disorders

2013 ◽  
Vol 11 (9) ◽  
pp. 1115-1121.e2 ◽  
Author(s):  
Tim Vanuytsel ◽  
Raf Bisschops ◽  
Ricard Farré ◽  
Ans Pauwels ◽  
Lieselot Holvoet ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Esophageal Motility ◽  
Esophageal Motility Disorders ◽  
Motility Disorders ◽  
Primary Esophageal Motility Disorders

scholarly journals Lymphocytic Esophagitis in Nonachalasia Primary Esophageal Motility Disorders

2016 ◽  
Vol 40 (12) ◽  
pp. 1679-1685 ◽  
Author(s):  
Juan Putra ◽  
Kristen E. Muller ◽  
Zilla H. Hussain ◽  
Siddhartha Parker ◽  
Scott Gabbard ◽  
...  
Keyword(s):  
Esophageal Motility ◽  
Esophageal Motility Disorders ◽  
Motility Disorders ◽  
Primary Esophageal Motility Disorders ◽  
Lymphocytic Esophagitis

Bread and barium: Diagnostic value in patients with suspected primary esophageal motility disorders

2000 ◽  
Vol 41 (2) ◽  
pp. 145-150 ◽  
Author(s):  
H. Nellemann ◽  
K. Aksglaede ◽  
P. Funch-Jensen ◽  
P. Thommesen
Keyword(s):  
Esophageal Motility ◽  
Diagnostic Value ◽  
Clinical Suspicion ◽  
Esophageal Motility Disorders ◽  
Barium Swallow ◽  
Motility Disorders ◽  
Esophageal Rings ◽  
Primary Esophageal Motility Disorders ◽  
Diagnostic Step ◽  
Infusion System

Purpose: To evaluate the significance of bread and barium studies as a diagnostic tool as well as a supplement to manometric investigation of the esophagus in patients with suspected esophageal motility disorders. Material and Methods: Eighty-nine patients suspected for primary esophageal motility disorders were examined. All patients were interviewed before the investigation to determine the prevalence of symptoms like heartburn, chest pain, and dysphagia. The patients underwent simultaneous roentgenologic and manometric investigations in the supine position during wet and solid barium swallow, and during continuous drinking, followed by investigation for gastroesophageal reflux (GER). The manometric examination was performed with triple-lumen catheters connected to a hydraulic capillary infusion system and external transducers. Results: All patients with normal esophageal clearing (n=31) had normal manometry. Patients with delayed esophageal clearing (n=58) required manometry for identifying concommittant motility disorders; achalasia and diffuse esophageal spasms were found only in patients with delayed liquid and solid emptying. GER and/or esophageal rings was demonstrated in 31 patients. Conclusion: We suggest bread and barium as the first diagnostic step in patients with clinical suspicion of primary esophageal motility disorders.

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