Presbyoesophagus
Updates to Article Attributes
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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.
Epidemiology
Presbyoesophagus is typically seen in patients moreolder than 80 years old.
Clinical presentation
Patients may complain of dysphagia or chest pain, although most are asymptomatic.
Pathology
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
Radiographic features
Fluoroscopy
On barium swallow the following features may be seen 6,7:
- decreased frequency of normal peristalsis
- tertiary contractions (ranging from minor to severe)
- oesophageal dilatation
- impaired lower oesophageal sphincter relaxation
Differential diagnosis
Other motility disorders should be considered:
-<p><strong>Presbyoesophagus</strong> is term that has been traditionally used to describe the manifestations of degenerating motor function in the aging <a href="/articles/oesophagus">oesophagus</a>.</p><p>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.</p><h4>Epidemiology</h4><p>Presbyoesophagus is typically seen in patients more than 80 years old. </p><h4>Clinical presentation</h4><p>Patients may complain of dysphagia or chest pain, although most are asymptomatic.</p><h4>Pathology</h4><p>Various mechanisms have been proposed:</p><ul>- +<p><strong>Presbyoesophagus</strong> is term that has been traditionally used to describe the manifestations of degenerating motor function in the aging <a href="/articles/oesophagus">oesophagus</a>.</p><p>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.</p><h4>Epidemiology</h4><p>Presbyoesophagus is typically seen in patients older than 80 years old. </p><h4>Clinical presentation</h4><p>Patients may complain of dysphagia or chest pain, although most are asymptomatic.</p><h4>Pathology</h4><p>Various mechanisms have been proposed:</p><ul>
Images Changes:
Image 3 DSA (angiography) (Frontal) ( update )
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Case 3
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