title: Common problems of the esophagus.
abstract: A brief review of common neuromuscular abnormality of the esophagus is given, with particular attention to the incompetent gastroesophageal sphincter and disordered motor activity of the esophageal body. There are a few simple messages to be emphasized and remembered. 1. The esophagus does not cause vague symptoms; they are definite and well-defined. 2. Dysphagia is an organic symptom unless proved otherwise. 3. Gastroesophageal reflux is caused by a poorly functioning physiological gastroesophageal sphincter. Gastroesophageal reflux and hiatus hernia are not directly related. 4. Gastroesophageal reflux is common but rarely serious. 5. Antacid has a sound physiological basis for its effectiveness in treating gastroesophageal reflux. 6. Anticholinergic medication is bad for gastroesophageal reflux. 7. Disordered esophageal motor activity is a common occurrence and may cause symptoms.
authors.forename: N
authors.initials: N
authors.lastname: Diamant
references.citation: Gastroenterology. 1972 Nov;63(5):778-83
references.pmid: 5079488
references.citation: N Engl J Med. 1971 May 20;284(20):1136-7
references.pmid: 5553487
references.citation: J Thorac Cardiovasc Surg. 1967 Jan;53(1):33-54
references.pmid: 5333620
references.citation: Gastroenterology. 1969 Jan;56(1):13-8
references.pmid: 5765428
references.citation: Am J Med. 1968 Apr;44(4):566-79
references.pmid: 4868278
references.citation: N Engl J Med. 1971 May 13;284(19):1053-6
references.pmid: 5553194
references.citation: N Engl J Med. 1970 Apr 16;282(16):886-9
references.pmid: 5434934
references.citation: Gastroenterology. 1970 Aug;59(2):273-9
references.pmid: 4915194
references.citation: Am J Dig Dis. 1972 Nov;17(11):993-6
references.pmid: 5082433
references.citation: J Thorac Cardiovasc Surg. 1961 Sep;42:352-62
references.pmid: 13714147
references.citation: Gut. 1971 Nov;12(11):948-56
references.pmid: 4943616
references.citation: Radiology. 1969 Dec;93(6):1323-7
references.pmid: 5387488
references.citation: J Appl Physiol. 1972 Jun;32(6):755-60
references.pmid: 4556116
references.citation: Gastroenterology. 1970 Feb;58(2):175-84
references.pmid: 5413016
references.citation: Gastroenterology. 1972 Jul;63(1):38-44
references.pmid: 5055746
references.citation: Gastroenterology. 1972 Dec;63(6):1066-73
references.pmid: 4565258