Presbyoesophagus

Dr Henry Knipe and Dr Yuranga Weerakkody et al.

Presbyoesophagus is term that has been traditionally used to describe the manifestations of degenerating motor function in the aging oesophagus.

Presbyoesophagus remains controversial given it was initially described in elderly patients with significant co-morbidities (e.g. dementia, diabetes), and subsequent studies have described less severe changes and only minor differences in oesophageal function in healthy patients less than 80 years old.

Presbyoesophagus is typically seen in patients more than 80 years old. 

Patients may complain of dysphagia or chest pain, although most are asymptomatic.

Various mechanisms have been proposed:

  • interruption of the reflex arc, perhaps from a central cause (e.g. ischaemic stroke)
  • decreased sensitivity to distension and reduced secondary peristalsis

On barium swallow the following features may be seen 6, 7:

  • decreased frequency of normal peristalsis
  • tertiary contractions (ranging from minor to severe)
  • oesophgaeal dilatation
  • impaired lower oesophageal sphincter relaxation

Other motility disorders should be considered:

Oesophageal pathology
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Article information

rID: 23463
Section: Pathology
Tag: cases
Synonyms or Alternate Spellings:
  • Presbyesophagus

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