Esophageal motility disorders include conditions like achalasia, esophageal spasm, and eosinophilic esophagitis, all of which make it difficult to get food down into your stomach. Fellowship-trained gastroesophageal surgeons Marc Ward, MD, and Steven Leeds, MD, at the Center for Advanced Surgery use cutting-edge techniques like esophagomyotomy and per oral endoscopic myotomy (POEM) to resolve esophageal motility disorders. Call one of their offices in Dallas, Plano, or Tyler, Texas, today to schedule a consultation or book your appointment online.
Esophageal motility disorders are a group of conditions that affect the passage of food from your mouth to your stomach.
When you eat, you don't think much about the process of swallowing, but it actually requires your body to perform a carefully coordinated series of actions. First, the upper esophageal sphincter (UES), a band of muscle at the top of your esophagus, needs to open.
As you swallow, peristalsis — rhythmic muscular contractions — propels the chewed food down your esophagus. At the right time, the lower esophageal sphincter (LES), a band of muscle that stops stomach acid refluxing up your esophagus, needs to open to let the food into your stomach.
Any problem with these actions results in an esophageal motility disorder.
The most common esophageal motility disorders are:
Achalasia is a condition where the LES can't open properly due to nerve dysfunction. Food then can't get into your stomach.
Eosinophilic esophagitis is an inflammatory disease where the wall of your esophagus fills with white blood cells called eosinophils. It might be due to a food allergy.
Esophageal spasm is a condition that interferes with peristalsis in your esophagus, so you can't propel swallowed food down to your stomach properly.
You could also develop an esophageal motility disorder as a symptom of a whole-body disease like systemic sclerosis or Chagas disease.
Esophageal motility disorders can cause symptoms such as:
Aspirating food means that food particles go into your airways instead of your stomach. This can lead to choking and, subsequently, infections such as pneumonia.
Treatment for your esophageal motility disorder depends on which condition you have and how severe it is.
Eosinophilic esophagitis is treatable using medications such as calcium channel blockers or injections of medical Botox®.
A coating of corticosteroid medication on your esophagus can help to reduce inflammation. You can use a fluticasone inhaler to puff the steroid into your mouth or swallow liquid budesonide mixed with a sugar substitute or a thickening agent.
If noninvasive therapies aren't working, you might require a more invasive procedure.
For instance, if your esophagus is narrowing, your provider at the Center for Advanced Surgery might use an endoscope (long, flexible tube) to insert a medical balloon into your esophagus. Inflating the balloon when it's in position helps widen your esophagus.
Surgical procedures for esophageal motility disorders include esophagomyotomy (Heller myotomy) to release the LES. Alternatively, per oral endoscopic myotomy (POEM) can achieve the same outcome using endoscopic techniques.
To find out more or discuss any current symptoms you have, call the Center for Advanced Surgery today or book an appointment online.