Dysphagia, esophagitis, and lung disease

Roberto Gomez, John Fortunato*

*Corresponding author for this work

Research output: Contribution to journalReview article

Abstract

Esophageal dysmotility and esophagitis often resulting in symptoms of dysphagia are associated with pulmonary conditions such as asthma, chronic cough, and aspiration. This is commonly seen with peptic esophagitis caused by gastroesophageal reflux disease, but also includes conditions such as eosinophilic esophagitis, ineffective esophageal peristalsis, and achalasia. Demonstrating a correlation between esophageal and pulmonary disease relies on accurate and thorough clinical assessment complimented by diagnostic technology such as esophageal pH/impedance monitoring, esophageal manometry, bronchoalveolar lavage, and pepsin analysis. Validation of current and new innovative technology to assess the esophagus is critical in order to correctly define causes of pulmonary disease and focus appropriate treatment. This review will summarize key disorders of the esophagus as they relate to chronic lung disease emphasizing both inflammatory and non-inflammatory esophageal pathology. We will also provide a description along with the limitations of both available and evolving diagnostic tests used to evaluate dysphagia and gastroesophageal reflux.

Original languageEnglish (US)
Pages (from-to)96-102
Number of pages7
JournalClinical Pulmonary Medicine
Volume17
Issue number2
DOIs
StatePublished - Mar 1 2010

Keywords

  • Dysphagia
  • Eosinophilic esophagitis
  • Esophageal manometry
  • Esophageal motility
  • Esophagitis
  • Gastroesophageal reflux disease (gerd)
  • Impedance-pH
  • Lung disease

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine

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