Gastrointestinal Motility Disorders : A Point of Care Clinical Guide.

Intro -- Preface -- Contents -- Contributors -- Part I: Esophageal and Supraesophageal Motor Disorders -- 1: Achalasia and Esophageal Outlet Obstruction -- Commonly Posed Patient Questions -- Background and Pathogenesis -- Diagnosis -- Clinical Presentation -- Endoscopy -- Barium Studies -- Manometry -- HRM with Adjunctive Tests/Physiological Challenge -- Endoluminal Functional Lumen Imaging Probe (Endo-FLIP) -- Treatment -- Pharmacology Including Botulinum Toxin -- Endoscopic Dilation -- Surgical Heller Myotomy -- Per-Oral Endoscopic Myotomy (POEM) -- Esophagectomy for End-Stage Achalasia -- Comparison of Treatment Modalities -- Botulinum Toxin vs. Pneumatic Dilatation and Laparoscopic Heller Myotomy -- Pneumatic Dilatation vs. Laparoscopic Heller Myotomy -- POEM vs. Laparoscopic Heller Myotomy -- Therapeutic for EGJ Outflow Obstruction -- Posttreatment Follow-Up -- Clinical Symptoms -- Timed Barium Esophagogram (TBE) -- Esophageal Manometry -- Endoscopic Surveillance for Cancer -- Conclusion and Future Developments -- References -- 2: Esophageal Chest Pain: Esophageal Spasm -- Introduction -- Epidemiology of Esophageal Spasm -- Pathophysiology -- Treatment of Spastic Esophageal Motility Disorders -- Pharmacologic Therapies -- Endoscopic Therapy -- Surgical Therapy -- The Natural History of Spastic Esophageal Motility Disorders -- References -- 3: Chest Pain of Esophageal Origin and Reflux Hypersensitivity -- Chest Pain Due to Gastroesophageal Reflux -- Why Does Acid Reflux Cause Chest Pain Rather Than Heartburn? -- Brief Review of Literature -- How Can We Distinguish Chest Pain Due to Acid Reflux from Cardiac Chest Pain? -- Brief Review of the Literature -- How Do You Diagnose Chest Pain Caused by Acid Reflux? -- Brief Review of Literature -- How Do You Treat Chest Pain Caused by Acid Reflux? -- Brief Review of the Literature.

Chest Pain Due to Esophageal Hypersensitivity -- What Is Esophageal Hypersensitivity and Why Does It Cause Chest Pain? -- Brief Review of the Literature -- Electrical Stimulus -- Mechanical Stimulus -- Chemical Stimulus -- How Can We Distinguish Chest Pain Due to Esophageal Hypersensitivity from Cardiac Chest Pain? -- Brief Review of the Literature -- How Do You Diagnose Chest Pain Due to Esophageal Hypersensitivity? -- Brief Review of the Literature -- How Do You Treat Chest Pain Due to Esophageal Hypersensitivity? -- Brief Review of Literature -- References -- 4: Nonspecific Esophageal Motility Disorders -- My Manometry Findings Do Not Fit into Specific Disorders. What's Wrong with My Esophagus? -- What Are Nonspecific Motor Disorders and Why Do They Develop? -- Contraction Wave Abnormalities -- How Are Contraction Wave Abnormalities Relevant to My Symptoms? -- Breaks in Peristaltic Integrity -- Can LES and EGJ Abnormalities Contribute to My Problems? -- Other Nonspecific Disorders -- Summary -- References -- 5: Scleroderma Esophagus -- I Have Just Been Told That I Have Scleroderma and It Can Affect the Esophagus. What Should I Expect? -- Review of the Literature -- How Commonly Does It Involve the Esophagus? -- What Are the Symptoms of Scleroderma When It Involves the Esophagus? -- How Is Esophageal Involvement Diagnosed, What Tests Should Be Done? -- How Is Scleroderma Esophagus Treated? -- What Will Happen in the Long Run (If Treated and if Not Treated?) -- Do I Need Special Follow-Up? -- References -- 6: Globus Sensation -- Question 1: What Is Globus Sensation and Why Did This Happen to Me? -- Brief Review of Literature -- Definition -- Epidemiology -- Pathophysiology -- Visceral Hypersensitivity -- Esophageal Dysmotility -- Gastroesophageal Reflux -- Psychiatric Comorbidity -- Other Associations.

Question 2: How Is Globus Diagnosed, What Tests Should Be Done? -- Brief Review of Literature: Clinical Management -- History and Physical Examination -- Investigation of Globus Sensation -- Question 3: How Is Globus Treated? -- Brief Review of Literature: Therapeutic Options -- Non-pharmacological -- Pharmacological -- Invasive Therapy -- Summary -- References -- 7: UES Restrictive Disorders -- Why Do I Have Coughing and Choking Right After Eating? Epidemiology and Pathophysiology of UES Restrictive Disorders -- Suggested Response to the Patients -- Brief Review of Literature -- Zenker's Diverticulum -- Cricopharyngeal Bar -- Cricopharyngeal Achalasia -- What Are the Symptoms If My UES Does Not Open Normally During Swallowing and How Do You Diagnose It? Clinical Features and Diagnosis of UES Restrictive Disorders -- Suggested Response to the Patients -- Brief Review of Literature -- Zenker's Diverticulum -- Cricopharyngeal Bar -- Cricopharyngeal Achalasia -- What Are the Treatment Options Available? Therapy for UES Restrictive Disorders -- Suggested Response to the Patients -- Brief Review of Literature -- Zenker's Diverticulum -- Cricopharyngeal Bar -- Cricopharyngeal Achalasia -- What Are the Other Conditions That Could Be Confused with UES Opening Dysfunction? Disorders That Need to Be Distinguished from UES Opening Dysfunction -- Suggested Response to the Patients -- Brief Review of Literature -- References -- 8: Erosive Esophagitis -- What Causes Erosive Esophagitis? Is It Frequent? -- Response to the Patient -- Brief Review of the Literature -- How Is Erosive Esophagitis Treated? -- Response to the Patient -- Review of the Literature -- What Will Happen in the Long Run? -- Response to the Patient -- Review of the Literature -- References -- 9: Regurgitation -- Question: Food and Liquid Are Coming Up in My Throat. What Is Causing This?.

Question: I Have Reflux and Used to Have Heartburn, but It Doesn't Happen When I am on My Acid Blocker. I Still Have Liquid Coming Up, Particularly at Night and It Makes Me Cough? What Is Causing This and What Can I Do? -- Overview of the Symptom of Regurgitation -- What Is the Evaluation for Regurgitation? -- Regurgitation: A Stepwise Approach -- References -- 10: Nonerosive Reflux Disease (NERD) -- Introduction -- Epidemiology -- Natural History -- Pathophysiology -- Clinical Characteristics -- Diagnosis -- Treatment -- Future Directions -- References -- 11: Functional Heartburn -- They Can't Find Anything Wrong with My Esophagus, but I Continue to Have Heartburn -- How Is FH Defined and What Are the Predisposing Factors? -- What Is the Pathophysiology of FH? -- How Is FH Diagnosed? -- How Is FH Treated? -- References -- 12: I Am Tired of Taking Pills for My Reflux, What Else Can I Do? Surgical and Endoscopic Treatment for GERD -- Brief Review of the Literature -- Future Trends -- Brief Review of Literature -- Future Trends -- Brief Review of Literature -- Stretta -- Transoral Incisionless Fundoplication (TIF, EsophyX) -- Future Trends -- References -- 13: Barrett's Esophagus: Am I Going to Get Cancer? What Should I Do to Avoid It? -- What Are My Chances of Getting Cancer? -- How Can I Avoid Getting Cancer? -- Introduction -- Pathogenesis -- Association with Reflux -- Dysplasia in Barrett's Esophagus -- Screening for Barrett's -- Obesity and Barrett's Esophagus -- NSAID's and Barrett's Esophagus -- Endoscopic Imaging Techniques -- White Light Endoscopy (HD-WLE) -- Chromoendoscopy -- Electronic Chromoendoscopy -- Microscopic Endoscopy -- Endoscopic Therapies for Barrett's Esophagus -- Endoscopic Mucosal Resection (EMR) -- Endoscopic Submucosal Dissection (ESD) -- EMR vs. ESD -- Radiofrequency Ablation (RFA) -- References.

14: Supraesophageal Reflux Disease (SERD) -- How Can My Hoarse Voice Be Caused by Stomach Content or Acid? -- Pathophysiology -- Diagnosis -- What Are My Treatment Options? -- Lifestyle Modifications -- References -- 15: Chronic Cough and Throat Clearing -- Common Questions Asked by Patients -- Introduction -- Coughing and Throat Clearing -- Approach to Differential Diagnosis and Management -- Common Causes of Chronic Cough with Throat Clearing -- Gastroesophageal Reflux Disease (GERD) -- Upper Airway Cough Syndrome (UACS) -- Direct Exposures -- Asthma and Nonasthmatic Eosinophilic Bronchitis (NAEB) -- Refractory Cough and Somatic/Tic Cough -- Autoimmune Diseases -- Summary -- References -- 16: Dysphonia and Laryngopharyngeal Reflux -- Clinical Studies -- Basic Science Studies -- Clinical Studies Revisited -- Treatment -- Summary -- References -- 17: Aspiration Pneumonia/Bronchitis -- Patient Question: What Controls Normal Swallowing and What Is "Aspiration"? -- Patient Question: What Are the Risk Factors That Predispose to Aspiration? -- Patient Question: How Common Are Aspiration and Aspiration Pneumonia? -- Patient Question: What Are the Symptoms of Aspiration and How Is It Diagnosed? -- Patient Question: What Can Happen to Me as a Result of Aspiration? -- Patient Question: What Are the Long-Term Consequences of Aspiration? -- Patient Question: Do I Need Antibiotics for Aspiration? -- Patient Question: What Can Be Done to Prevent Aspiration Pneumonia? -- References -- 18: Esophageal Manometry -- What Is Esophageal Manometry? -- Response to the Patient -- Brief Review of Supporting Evidence -- Introduction -- Conventional and High-Resolution Manometry -- Why Do I Need an Esophageal Manometry Study? -- Response to the Patient -- Brief Review of Supporting Evidence -- Introduction -- The HRM Manometry Report and the Clinical Implications of HRM.

HRM Metrics.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.