関: esophageal dysmotility、nutcracker esophagus

WordNet

bring disorder to (同)disarray
a physical condition in which there is a disturbance of normal functioning; "the doctor prescribed some medicine for the disorder"; "everyone gets stomach upsets from time to time" (同)upset
a disturbance of the peace or of public order
ability to move spontaneously and independently
relating to the esophagus
not arranged in order (同)unordered

PrepTutorEJDIC

〈U〉『無秩序』,混乱,乱雑(confusion) / 《しばしば複数形で》(社会的・政治的な)粉争,騒動 / 〈C〉(肉体的・精神的な)不調,異常,障害 / …‘の'秩序を乱す / 〈心身〉‘に'異常を起こさせる

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/07/28 20:04:04」(JST)

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An esophageal motility disorder is any medical disorder causing difficulty in swallowing, regurgitation of food and a spasm-type pain which can be brought on by an allergic reaction to certain foods. The most prominent one is dysphagia. It is a part of CREST syndrome, refers to the five main features: calcinosis, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly and telangiectasia.(2)

Types

Dysphagia could be for Solid only or for Sold and liquid. 1) Solid Dysphagia is due to obstruction such as Esophageal Cancer, Esophageal web, or Stricture. 2) Solid plus liquid dysphagia is due to Esophageal motility disorder (or dysmotility) either upper esophagus (Mysthenia graves, stoke, or Dermatomyositis) or Lower esophagus (systemic sclerosis, CREST syndrome, or Achalasia)

Symptoms

There are contractions along the lower esophagus when this condition happens. These contractions prevent the passage of food. ^[1]

References

^ http://www.uwmedicine.org/health-library/Pages/esophageal-motility-disorders.aspx

2. ^ Winterbauer RH (1964). "Multiple telangiectasia, Raynaud's phenomenon, sclerodactyly, and subcutanious calcinosis: a syndrome mimicking hereditary hemorrhagic telangiectasia". Bulletin of the Johns Hopkins Hospital 114: 361–83. PMID 14171636.

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1. 食道運動障害：臨床症状、診断およびマネージメント esophageal motility disorders clinical manifestations diagnosis and management
2. 高解像度食道内圧検査 high resolution manometry
3. 成人における嚥下障害の概要 overview of dysphagia in adults
4. 成人における全身性硬化症（強皮症）の臨床症状の概要 overview of the clinical manifestations of systemic sclerosis scleroderma in adults
5. 球感覚 globus sensation

English Journal

Uses of Esophageal Function Testing: Dysphagia.

Yazaki E1, Woodland P1, Sifrim D2.
Gastrointestinal endoscopy clinics of North America.Gastrointest Endosc Clin N Am.2014 Oct;24(4):643-654. doi: 10.1016/j.giec.2014.06.008. Epub 2014 Aug 10.
Esophageal function testing should be used for differential diagnosis of dysphagia. Dysphagia can be the consequence of hypermotility or hypomotility of the muscles of the esophagus. Decreased esophageal or esophagogastric junction distensibility can provoke dysphagia. The most well established esop
PMID 25216909

The Chicago Classification of Motility Disorders: An Update.

Roman S1, Gyawali CP2, Xiao Y3, Pandolfino JE4, Kahrilas PJ5.
Gastrointestinal endoscopy clinics of North America.Gastrointest Endosc Clin N Am.2014 Oct;24(4):545-561. doi: 10.1016/j.giec.2014.07.001. Epub 2014 Aug 1.
The Chicago Classification defines esophageal motility disorders in high resolution manometry. This is based on individual scoring of 10 swallows performed in supine position. Disorders of esophago-gastric junction (EGJ) outflow obstruction are defined by a median integrated relaxation pressure abov
PMID 25216902

[Current issues on gastroesophageal reflux disease].

Kim JH1, Kim BJ2, Kim SW3, Kim SE4, Kim YS5, Sung HY6, Oh TH7, Jeong ID8, Park MI4; Korean Society of Neurogastroenterology and Motility GERD and Esophageal Function Research Committee.
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi.Korean J Gastroenterol.2014 Sep 25;64(3):127-32.
Gastroesophageal reflux disease (GERD) is one of the most common problems in gastrointestinal disorders. With the increase in our understanding on the pathophysiology of GERD along with the development of proton pump inhibitors, the diagnostic and therapeutic approaches to GERD have changed dramatic
PMID 25252860

Japanese Journal

高齢者の食道運動機能異常と治療

小村伸朗,矢野文章,坪井一人,星野真人,山本世怜,秋元俊亮,柏木秀幸,矢永勝彦
日本気管食道科学会会報 65(5), 412-420, 2014
… 一次性食道運動機能障害にはアカラシア，食道び慢性痙攣症，ナットクラッカー食道，hypertensive lower esophageal sphincter (hypertensive LES)，非特異的食道運動機能障害などがある。 … 非特異的食道運動機能障害の中で食道体部運動などが低下した一群をineffective esophageal motility (IEM) として分類することがある。 …
NAID 130004700388

Peroral Endoscopic Myotomy: Establishing a New Program

Kumta Nikhil A.,Mehta Shivani,Kedia Prashant,Weaver Kristen,Sharaiha Reem Z.,Fukami Norio,Minami Hitomi,Casas Fernando,Gaidhane Monica,Lambroza Arnon,Kahaleh Michel
Clinical Endoscopy 47(5), 389-397, 2014
… Achalasia is an esophageal motility disorder characterized by incomplete relaxation of the lower esophageal sphincter (LES) and aperistalsis of the esophageal body. … POEM involves an esophageal mucosal incision followed by creation of a submucosal tunnel crossing the esophagogastric junction and myotomy before closure of the mucosal incision. …
NAID 120005602587