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An esophageal motility disorder (EMD) is any medical disorder resulting from dysfunction of the coordinated movement of esophagus, which causes dysphagia (i.e. difficulty in swallowing, regurgitation of food). [1] Primary motility disorders are: [1] Achalasia; Diffuse esophageal spasm; Nutcracker esophagus; Hypertensive lower esophageal sphincter
Generally, diseases outlined within the ICD-10 codes K20-K31 within Chapter XI: Diseases of the digestive system should be included in this category. Subcategories This category has the following 3 subcategories, out of 3 total.
Often the pressure is in the fundus of the stomach, the esophagus or distention of the bowel. It is believed this leads to elevation of the diaphragm , and secondary displacement of the heart. This reduces the ability of the heart to fill and increases the contractility of the heart to maintain homeostasis.
AGID is diagnosed with a complete medical history, exam of patients motility and with special blood tests looking for autoantibodies consistent with neurologic autoimmunity. [2]
For example, gastroesophageal reflux disease (GERD) with reflux esophagitis is treated with proton pump inhibitors. Esophageal rings or strictures may be treated with esophageal dilation. Simple observation may be considered, [5] especially if symptoms are minimal or absent. If symptoms are severe or persistent, peroral endoscopic myotomy (POEM ...
Gastric motility studies; Imaging studies: CT-Scan showing a Cross-section of the abdomen of an elderly lady with an IPO. X-rays – may show intestinal air fluid levels (seen with true mechanical intestinal obstruction) CT scans; Barium enema; Blood tests; Upper and lower endoscopies; Manometry – used to measure pressure of esophagus and stomach
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Esophageal spasm is a disorder of motility of the esophagus. [2] There are two types of esophageal spasm: [2] Diffuse or distal esophageal spasm (DES), where there is uncoordinated esophageal contractions; Nutcracker esophagus (NE) also known as hypertensive peristalsis, where the contractions are coordinated but with an excessive amplitude.