Latimer P R
Biofeedback Self Regul. 1981 Jun;6(2):181-9. doi: 10.1007/BF00998868.
Diffuse esophageal spasm is an uncommon esophageal motor disorder characterized clinically by chest pain and difficulty swallowing. A case is described in which failure of conventional medical treatment in the face of continued weight loss led to consideration for surgery. The need for surgery was obviated by the successful application of relaxation training, which resulted in a significant reduction in painful esophageal spasms, weight gain, and an improvement in psychological state; there was, however, no change in the underlying esophageal motor disorder. The use of a second coping strategy--double swallowing--had an additional beneficial effect, and clinical improvements were maintained and increased at 6-month follow-up. The rationale and the effects of this method at the physiological level are described. It is suggested that double swallowing is a promising new approach to helping patients cope with disordered esophageal motility and that its more general applicability warrants further study.
弥漫性食管痉挛是一种罕见的食管运动障碍，临床特征为胸痛和吞咽困难。本文描述了一例病例，面对持续体重减轻，传统药物治疗无效，因此考虑手术治疗。成功应用放松训练消除了手术需求，这使得食管疼痛性痉挛显著减少、体重增加且心理状态改善；然而，潜在的食管运动障碍并无变化。使用第二种应对策略——双重吞咽——具有额外的有益效果，且在6个月随访时临床改善得以维持并增强。本文描述了该方法在生理层面的基本原理和效果。建议双重吞咽是帮助患者应对食管动力紊乱的一种有前景的新方法，其更广泛的适用性值得进一步研究。
