Motility disorders

Question 1

what are the different motility disorders ? 3

Answer 1

achalasia- most important

systemic sclerosis

diffuse oesophageal spasm

Question 2

what is achalasia

Answer 2

characterised by oesophageal aperistalsis and impaired relaxation to the lower oesophageal sphincter

Question 3

achalasia means that the sphincter has very -____ _____ and ____ and ____ does not go down the gullet very wel

Answer 3

This means that the sphincter has very high tone and food and drink does not go down the gullet very wel

Question 4

patients with achalasia have a long history of what?

Answer 4

dysphagia

Question 5

what do people with achalasia find difficult to swallow

Answer 5

solids and liquids

Question 6

what other PC may patients with achalasia have ?

Answer 6

pain from oesophageal spasm

Question 7

what tests may be done for achalasia?

Answer 7

endoscopy

oesophageal manometry

can also do barium swallow

Question 8

endoscopy of achalasia shows what?

Answer 8

• The oesophageal body motility is poor

- Excludes carcinoma

Question 9

what is the gold standard test for achalasia?

Answer 9

oesophageal manometry

Question 10

treatment of achalasia may involve ____ the ____ which control the ____

Answer 10

blocking, nerves, sphincter

Question 11

what can patients who are on achalasia treatment develop?

Answer 11

GORD - only a little

Question 12

what is systemic sclerosis ?

Answer 12

diminished paristalsis because the smooth muscle of the oesophagus is replaced by fibrous tissue

Question 13

what can people with systemic sclerosis develop?

Answer 13

reflux as LOS pressure is decreased

Question 14

____ ____ ______ can accompany GORD

Answer 14

diffuse oesophageal spasm

Question 15

what happens in diffuse oesophageal spasm?

Answer 15

patients have marked contractions of the oesophagus without normal peristalsis

Question 16

when the oesophageal spasm is higher up what is the variant of diffuse oesophageal spasm called?

Answer 16

nutcracker oesophagus