Other Esophageal Motility Disorders: Role for Laparoscopic or Endoscopic Myotomy

  • Francisco Schlottmann
  • Marco G. PattiEmail author


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.


Dysphagia Chest pain Esophageal manometry Ambulatory pH monitoring Esophageal motility disorders Diffuse esophageal spam Nutcracker esophagus Hypertensive lower esophageal sphincter Esophageal myotomy POEM 


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© SAGES 2019

Authors and Affiliations

  1. 1.Surgery and Center for Esophageal Diseases and SwallowingUniversity of North CarolinaChapel HillUSA
  2. 2.Department of Surgery and Center for Esophageal Diseases and SwallowingUniversity of North CarolinaChapel HillUSA

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