Table 1 - Correlation of various parameters of esophageal motility disorders: major symptom, clinical syndrome, esophageal motility findings, esophageal bolus transport, pathophysiology or the anatomic site of major involvement
From the following article
W.G. Paterson, Raj K. Goyal and Fortunée Irene Habib
GI Motility online (2006)
doi:10.1038/gimo20
Symptoms | Clinical disorders | Manometric diagnosis | Esophageal transit | Pathophysiology | Anatomic location |
---|---|---|---|---|---|
DES, diffuse esophageal spasm; LES, lower esophageal sphincter; TLESR, transient lower esophageal sphincter relaxation. | |||||
Dysphagia and chest pain | Achalasia | Achalasia | Very slow | Inhibitory nerve | Thoracic esophagus LES |
DES | DES | Slow | Inhibitory nerve | Thoracic esophagus | |
Hypotensive peristalsis | Slow (positional) | Inhibitory nerve Excitatory nerve Myogenic | Thoracic esophagus | ||
Heartburn and regurgitation | GERD | TLESR | Reflux | Inhibitory nerve | LES |
Hypotensive LES | Reflux | Inhibitory nerve Excitatory nerve Myogenic | LES | ||
Decreased reflex contract of LES | Reflux | Excitatory nerve Myogenic | LES | ||
Hypotensive peristalsis | Slow (positional) | Inhibitory nerve Excitatory nerve Myogenic | Thoracic esophagus | ||
Chest pain (?dysphagia) | Hypertensive peristalsis (nutcracker esophagus) | Normal | Excitatory nerve | Thoracic esophagus | |
Hypertensive LES | Normal | Excitatory nerve | LES | ||
Hypercontracting LES | Normal | Excitatory nerve | LES |