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Oesophageal physiology, clinical evaluation of oesophageal motility disorders, and gastro-oesophageal reflux disease 

Oesophageal physiology, clinical evaluation of oesophageal motility disorders, and gastro-oesophageal reflux disease
Chapter:
Oesophageal physiology, clinical evaluation of oesophageal motility disorders, and gastro-oesophageal reflux disease
Author(s):

M. Asif Chaudry

, Sri G. Thrumurthy

, and Muntzer Mughal

DOI:
10.1093/med/9780199663200.003.0003
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date: 24 May 2018

This chapter expands on the anatomical and physiological aspectsof the oesophagus, describing normal oesophageal motility and physiology and the clinical relevance of the gastro-oesophageal junction. Benign oesophageal pathology and the evaluation of patients with dysphagia are described. Achalasia and its management are investigated, together with the operative aspects of Heller’s cardiomyotomy and the peroral endoscopic myotomy procedure. Oesophageal spasm, nutcracker oesophagus, and various other oesophageal dysmotility syndromes are described together with their respective management algorithms. The aetiology and various subtypes of gastro-oesophageal reflux disease are described in detail, together with the latest investigative and management strategies (including urgent referral criteria).

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