Berges W, Stolze T, Wienbeck M
Z Gastroenterol. 1980 Jul;18(7):365-9.
In 15 patients suspected to have achalasia or diffuse spasm of the oesophagus we were unable to make the final diagnosis of their motility disorder in spite of radiologic, endoscopic, and manometric examinations. In 5 patients the radiologic and manometric results showed a discrepancy. In 4 patients only the lower oesophageal sphincter exhibited failure fo complete relaxations typical of achalasia; however, the motility of the body of the oesophagus was peristaltic in nature. In 6 patients the initial diagnosis had to be changed during follow-up. In conclusion, motility disorders occur in the oesophagus which cannot be classified according to existent definitions. It is possible therefore that achalasia and oesophageal spasm are different and not always fixed expressions of one nosologic entity.
在15例疑似患有贲门失弛缓症或食管弥漫性痉挛的患者中，尽管进行了放射学、内镜和测压检查，我们仍无法对其动力障碍做出最终诊断。5例患者的放射学和测压结果存在差异。4例患者仅食管下括约肌表现出贲门失弛缓症典型的完全松弛失败；然而，食管体部的动力是蠕动性的。6例患者在随访期间不得不改变初始诊断。总之，食管中存在无法根据现有定义进行分类的动力障碍。因此，贲门失弛缓症和食管痉挛可能不同，并非总是某一疾病实体的固定表现形式。
