Assim, nos pacientes com acalásia, a disfagia concomitante para sólidos e endoscopia digestiva alta, importantes para a exclusão de causas orgânicas. Las causas son múltiples pero en general se deben a una o más alteraciones . motores primarios, incluidos los de hipercontractilidad esofágica y acalasia). Las causas menos comunes de la estrechez esofágica son redes o anillos (que son finas capas de tejido en exceso), cáncer de esófago, cicatrización después.

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Na disfagia de transporte ou esofagiana, ocorre dificuldade na passagem do bolo alimentar pelo corpo esofagiano Differential diagnosis of esophageal motor disorders based in characteristics of dysphagia.

Arq Gastroenterol ;38 1: Anamnesis is useful for differenciating organic and functional dysphagia, but data are lacking about dysphagia characterization among different motor disorders.

Objectives – To evaluate if it is possible the distinction among esophageal motor disorders according to their manometric diagnosis, based on dysphagia characteristics. Patients and Methods – Dysphagia characteristics relation with bolus, frequency and localization of patients submitted to esophageal manometry were reviewed and analysed. Characteristics of dysphagia were compared among groups of patients with achalasia, esophageal spastic causass, non-specific causax motor disorders and with normal test.


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The precise distinction among groups based solely on characteristics of dysphagia was not possible, however some aspects could point to one or another group. In achalasia patients, dysphagia for both solid food and liquids, constant and felt in substernal area, was more frequent in relation to cqusas other group. Intermitent dysphagia was more frequent in patients with spastic disorders.

Characteristics of dysphagia in patients with non-specific esophageal motor disorders were similar to those observed in the group with normal test, frequently referred in the neck. Conclusion – Characteristics of dysphagia were ancillary to presume the diagnosis of these motor disturbances, however esophageal manometry is necessary for the correct diagnosis in patients with functional dysphagia. Alrakami A, Clouse RE.

The changing use of esophageal manometry in clinical practice. Am J Gastroenterol ; Predictive value of symptom profiles in patients with suspected oesophageal dysmotility.

Scand J Gastroenterol ; The nutcracker esophagus and the espectrum of esophageal motor disorders. Curr Concepts Gastroenterol ;5: Clouse RE, Staiano A.

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Differential diagnosis of esophageal motor disorders based in characteristics of dysphagia

causxs Segmental aperistalsis of the esophagus: Parte de Tese de Mestrado em Gastroenterologia. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.

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