Esophageal Motility Disorders | Clinical Medicine

Ninja Nerds!
In this lecture, Professor Zach Murphy will present on Esophageal Motility Disorders. We will discuss the pathophysiology, highlighting disorders such as achalasia, esophageal spasm, and scleroderma-related esophageal dysfunction, and their impact on esophageal motility. The session will transition to a digital presentation focused on the diagnostic approach, including manometry, barium esophagram, and endoscopy. Finally, we will review the management strategies for Esophageal Motility Disorders, emphasizing pharmacological treatments, endoscopic procedures like pneumatic dilation or botulinum toxin injection, and surgical options such as myotomy. Enjoy the lecture and support us below!

Table of Contents:
0:00 Lab
0:07 Esophageal Motility Disorders Introduction
0:40 Pathophysiology of Esophageal Motility Disorders
3:19 Complications of Esophageal Motility Disorders
4:52 Causes of Esophageal Motility Disorders
11:27 Diagnostic Approach to Esophageal Motility Disorders
17:10 Treatment of Esophageal Motility Disorders
24:38 Comment, Like, SUBSCRIBE!

Retired Ninja Nerd Lectures:

#ninjanerd #gastrointestinal #esophagealmotilitydisorders

[rebeccarobles]

I know this is for students but I watched as an Achalasia patient and I appreciate your explanation. Thank you 😊

[clarissaruiz]

This video has changed my life. I am truly indebted to you an dow you my PA degree. I love this video with my whole heart.

[anabelfulterer]

this comes at the perfect time, thank

[AmandaL-heku]

Not a student, someone suffering with achalasia, I got some extra info. It's good to know there are some Drs getting educated on it. It's hard dealing with a whole life change from this invisible disease on it's own, trying to find someone who knows what it is is even harder

[gabrielaguerrero]

Thank you so much! I appreciate your explanation. It’s helpful in understanding what is being felt with. I’m not a student but I’ve learned so much

[andresyahiraldapegarcia]

im about to start this class so perfect timing

[mgs]

I was Dx with Jackhammer Esophagus after years of GI Dr gaslighting when scoping esophagus, ballooning esophagus based on discomfort described and ultimately disregarding another barium swallow study interpretation of a surgeon. I wanted to share a “less common” symptom I was having & was seen with my Mayo Clinic Dr . I had difficulty swallowing and feeling like something was stuck in my upper throat like a bread ball. They did a swallow study with a benign circular tablet to watch its decent and saw it literally stuck in the middle of the esophagus. Water, applesauce and a viscous liquid couldn’t dislodge it. The fluids just slowly worked around the tablet. I didn’t feel pain mid esophagus~ I felt that bread ball stuck high up in my throat feeling. That is uncommon.
I also had incredibly forceful belching that were so explosive I couldn’t pinch my lips closed to mitigate the abrupt sound. I sounded like an elephant trumpeting from the force of the air escaping. If I couldn’t catch it before erupting I sounded like a guy belching loudly after drinking a carbonated drink!
If laying down or lounging the spasms can happen causing a tight painful chest, then when I sit up or stand I have a cascade of rolling burping which releases the painful pressure that built up.
Also treatment tried was peppermint (didn’t help), not too hot or cold liquids consumed (didn’t affect +\-), but Rx Tadalafil does help relax the spasms the most. I do get random mid chest pain that is crushing & choke often when eating or drinking from intense contraction during swallowing along with stabbing pain mid center back like food is sharp & stuck.

[bencarreiro]

great video, not a student but experiencing strong dysphasia with tired feeling every time I eat with food being stuck feeling but also more recently not being able to swallow saliva laying down and doc think I might be dealing with achalasia, one thing your videos had mentioned was EOE. My son was diagnosed with EOE at 1 year old, soo I am definitely curious of the results with my GI doc. Awaiting Barium swallow test. Awesome Video, fun to watch you have a great approach to explaining the topics you talk about.

[swethaganapathysundar]

Thanks a lot for clarity on the all-time confusing ones on manometry😌

[sanjith]

I'm pratheesh from india( tamilnadu).big fan of you sir.say one hii sir.

[stewart]

I've had Achalasia for over 15 years. Had Heller Myotomy surgery twice. Still struggle. daily with swallowing. I'm at stage three now

[joeyhodge]

Great video I have distal esophageal spasms looking for treatments

[syedsaniyaahmed]

When will you release the esophageal carcinoma video? Your videos are so awesome

[elisabetk]

Hodgkin Lymphoma survivors who were treated with mantle radiation very commonly have a disorganized esophagus and other motility issues.

[dr.synthyia]

Hi zach..thanks as always for great videos .Just one humble suggestion fast forwarding when u r writing is a not going well...hope u understand

[bee]

I had an Upper GI with Esophageal dysmobility, noting tertiary contractions through the mid to distal esophagus. Is this why I have trouble sometimes swallowing, it feels like the food does not go down normally?

[asbestosflake]

My LES is too loose/weak. How can I tighten it without surgery ?

[TheHKittyme]

I’m so scared I was just diagnosed with esophageal dismotility I am I. Delaware where we have no specialist so I have been trying to be seen by a specialist I. Philadelphia with a 6 month or longer waitlist. Now seeing this I’m scared

[kkvankar]

Hii man
I am from all India institute of medical sciences, bhubaneswar

[mehtabsingh]

Hi . I hv diagnosed with..
Achalasia type 2..
But want to heal naturally..
Is it possible..