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Pathogenesis of Functional Bowel Disease pp 113–142Cite as

Functional Diseases of the Esophagus

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Part of the book series: Topics in Gastroenterology ((TGEN))

Abstract

Although recognized as early as the 17th century, functional disorders of the esophagus attracted only sporadic interest until the mid 20th century. The awareness that esophageal abnormalities are frequently found in patients with noncardiac chest pain has led to a resurgence of interest in esophageal motility disorders (EMDs). Improvement in manometric instrumentation as well as increased frequency of manometric evaluations in patients with noncardiac chest pain have provided more specific characterizations of EMDs. “New” disorders such as high-amplitude peristalsis (nutcracker esophagus) and hypertensive lower esophageal sphincter (LES) have been defined and associated with chest pain syndromes and dysphagia. “Older” disorders such as achalasia and diffuse esophageal spasm have been further characterized and attempts made to correlate the motility disorders with symptomatic complaints of chest pain and dysphagia.

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  1. Section on Gastroenterology, Department of Medicine, The Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina, 27103, USA

    Joel E. Richter

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  1. Inflammatory Bowel Disease Center, Harbor-UCLA Medical Center, 90502, Torrance, California, USA

    William J. Snape Jr. M.D. (Director, Professor of Medicine) (Director, Professor of Medicine)

  2. University of California-Los Angeles, 90073, Los Angeles, California, USA

    William J. Snape Jr. M.D. (Director, Professor of Medicine) (Director, Professor of Medicine)

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© 1989 Plenum Publishing Corporation

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Richter, J.E. (1989). Functional Diseases of the Esophagus. In: Snape, W.J. (eds) Pathogenesis of Functional Bowel Disease. Topics in Gastroenterology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5694-3_7

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  • DOI: https://doi.org/10.1007/978-1-4684-5694-3_7

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