Is aperistalsis with complete lower esophageal sphincter relaxation an early stage of classic achalasia?

Journal of Gastroenterology and Hepatology (Australia)

Volumn 22, Issue 4, 2007, Pages 536-541

  Kim, Jeong Hwan ^a   Rhee, Poong Lyul ^a   Lee, Sang Soo ^a   Lee, Hyuk ^a   Choi, Yong Sung ^a   Son, Hee Jung ^a   Kim, Jae J ^a   Rhee, Jong Chul ^a  

^a Sungkyunkwan University School of Medicine   (South Korea)

Author keywords

Aperistalsis with complete LES relaxation; Barium esophagogram; Classic achalasia; Clinical histories; Manometry

Indexed keywords

ADULT; AGE DISTRIBUTION; ARTICLE; CLINICAL FEATURE; CONTROLLED STUDY; DISEASE COURSE; DYSPHAGIA; ESOPHAGOGRAPHY; ESOPHAGUS ACHALASIA; ESOPHAGUS DILATATION; ESOPHAGUS FUNCTION DISORDER; ESOPHAGUS HYPOMOTILITY; ESOPHAGUS MANOMETRY; ESOPHAGUS MOTILITY; FEMALE; HUMAN; LOWER ESOPHAGUS SPHINCTER; LOWER ESOPHAGUS SPHINCTER PRESSURE; MAJOR CLINICAL STUDY; MALE; PNEUMATIC TOOL; PRIORITY JOURNAL; REST; SMOOTH MUSCLE RELAXATION; THORAX PAIN; TIME; TREATMENT OUTCOME; WEIGHT REDUCTION;

EID: 33947211421     PISSN: 08159319     EISSN: 14401746     Source Type: Journal    
DOI: 10.1111/j.1440-1746.2006.04517.x     Document Type: Article

References (19)

1. Richter JE. Oesophageal motility disorders. Lancet 2001; 358: 823-8.
2. Vaezi MF, Richter JE. Diagnosis and management of achalasia. American College of Gastroenterology Practice Parameter Committee. Am. J. Gastroenterol. 1999; 94: 3406-12.
3. Katz PO, Richter JE, Cowan R, Castell DO. Apparent complete lower esophageal sphincter relaxation in achalasia. Gastroenterology 1986; 90: 978-83.
4. Li H, Zhang Z, Wang T, Shang L, Li X. Clinical application of esophageal manometry and 24-hour esophageal pH monitoring. Zhonghua Wai Ke Za Zhi 1999; 37: 74-6.
5. Amaravadi R, Levine MS, Rubesin SE, Laufer I, Redfern RO, Katzka DA. Achalasia with complete relaxation of lower esophageal sphincter: radiographic-manometric correlation. Radiology 2005; 235: 886-91.
6. Hirano I, Tatum RP, Shi G, Sang Q, Joehl RJ, Kahrilas PJ. Manometric heterogeneity in patients with idiopathic achalasia. Gastroenterology 2001; 120: 789-98.
7. Eckardt VF, Gockel I, Bernhard G. Pneumatic dilation for achalasia: late results of a prospective follow up investigation. Gut 2004; 53: 629-33.
8. Knyrim K, Wagner HJ, Bethge N, Keymling M, Vakil N. A controlled trial of an expansile metal stent for palliation of esophageal obstruction due to inoperable cancer. N. Engl. J. Med. 1993; 329: 1302-7.
9. Fang J, Bjorkman D. A critical approach to noncardiac chest pain: pathophysiology, diagnosis, and treatment. Am. J. Gastroenterol. 2001; 96: 958-68.
10. Hong SN, Rhee PL, Kim JH et al. Does this patient have oesophageal motility abnormality or pathological acid reflux? Dig. Liver Dis. 2005; 37: 475-84.
11. Spechler SJ, Castell DO. Classification of oesophageal motility abnormalities. Gut 2001; 49: 145-51.
12. Hirano I. Pathophysiology of achalasia. Curr. Gastroenterol. Rep. 1999; 1: 198-202.
13. Holloway RH, Dodds WJ, Helm JF, Hogan WJ, Dent J, Arndorfer RC. Integrity of cholinergic innervation to the lower esophageal sphincter in achalasia. Gastroenterology 1986; 90: 924-9.
14. Mearin F, Mourelle M, Guarner F et al. Patients with achalasia lack nitric oxide synthase in the gastro-oesophageal junction. Eur. J. Clin. Invest. 1993; 23: 724-8.
15. Vantrappen G, Janssens J, Hellemans J, Coremans G. Achalasia, diffuse esophageal spasm, and related motility disorders. Gastroenterology 1979; 76: 450-7.
16. Castell DO. The spectrum of esophageal motility disorders. Gastroenterology 1979; 76: 639-40.
17. Ott DJ, Richter JE, Chen YM et al. Radiographic and manometric correlation in achalasia with apparent relaxation of the lower esophageal sphincter. Gastrointest. Radiol. 1989; 14: 1-5.
18. Mearin F, Malagelada JR. Complete lower esophageal sphincter relaxation observed in some achalasia patients is functionally inadequate. Am. J. Physiol. Gastrointest. Liver Physiol. 2000; 278: G376-83.
19. Meshkinpour H, Haghighat P, Dutton C. Clinical spectrum of esophageal aperistalsis in the elderly. Am. J. Gastroenterol. 1994; 89: 1480-3.