Espasmo esofágico difuso

Narmys García Casanova, Raúl Antonio Brizuela Quintanilla

Texto completo:

PDF HTML

Resumen

El espasmo esofágico difuso es un trastorno de la motilidad esofágica de causa desconocida y que cursa desde el punto de vista clínico con dolor torácico que asemeja la angina precordial de origen cardiovascular y disfagia. Su diagnóstico a veces difícil, tiene un apoyo vital en la manometría esofágica y el estudio baritado del esófago. El tratamiento de estos enfermos es controvertido y variado dada su relativa poca frecuencia y la falta de estudios controlados aleatorizados, por lo que existen diferentes opciones de tratamiento médico, endoscópico o quirúrgico. Se realiza una revisión bibliográfica de esta afección dirigida a todos los médicos de nuestro sistema de salud con el objetivo de ayudar a brindar una mejor atención a nuestra población. Se consultaron diferentes fuentes para la realización de la misma.

Palabras clave

espasmo esofágico difuso; trastorno motor esofágico; disfagia; dolor torácico no cardiogénico

Referencias

Almanza C, Achem SR. El espasmo esofágico difuso (EED). Conceptos prácticos sobre diagnostico y tratamiento. Rev Gastroenterol Mex [Internet]. 2007 [citado 08 Mar 2011];72(2). Disponible en:

http://www.medigraphic.com/pdfs/gastro/ge-2007/ge072j.pdf

Murray JA, Ledlow A, Launspach J, Evans D, Loveday M, Conklin JL. The effect of recombinant human hemoglobin on esophageal motor function in humans. Gastroenterology [Internet]. 1995 Oct [cited 2011 Jan 08];109(4). Available from:

http://www.ncbi.nlm.nih.gov/pubmed/7557091

Hayashi H, Mine K, Hosoi M, Tsuchida O, Handa M, Kinukawa N [et al]. Comparison of the esophageal manometric characteristics of idiopathic and reflux-associated esophageal spasm: evaluation by 24-hour ambulatory esophageal motility and pH monitoring. Dig Dis Sci [Internet].

Nov [cited 2011 Jan 08];48(11). Available from:

http://www.ncbi.nlm.nih.gov/pubmed/14705816

Eypash E, DeMeester TR, Klingman RR, Stein HJ. Physiologic assessment and surgical management of diffuse esophageal spasm. J Thoracic Cardiovasc Surg [Internet]. 1992 Oct [cited 2011 Mar 08];104(4). Available from: http://www.ncbi.nlm.nih.gov/pubmed/1405682

Flye MW, Sealy WC. Diffuse spasm of the esophagus. Ann Thorac Surg [Internet]. 1975 Jun [cited 2011 Jan 20];19(6). Available from:

http://www.ncbi.nlm.nih.gov/pubmed/806272

Friesen DL, Henderson RD, Hanna W. Ultrastructure of the esophageal muscle in achalasia and diffuse esophageal spasm. Am J Clin Path [Internet]. 1983 Mar [cited 2011 Jan 20];79(3). Available from:

http://www.ncbi.nlm.nih.gov/pubmed/6829502

Champion JK, Delisle N, Hunt T. Myenteric plexus in spastic motility disorders. J Gastrointest Surg [Internet]. 2001 Sep-Oct [cited 2011 Jan 20];5(5). Available from: http://www.ncbi.nlm.nih.gov/pubmed/11986002

Cassella RR, Ellis FH, Brown AL. Difusse spasm of the lower part of the esophagus. Fine structure of esophageal smooth muscle and nerve. JAMA [Internet]. 1965 [cited 2011 Jan 20];191(5). Available from:

http://jama.jamanetwork.com/article.aspx?articleid=654703

Campo S, TraubeM. Manometric characteristics in idiopathic and refluxassociated esophageal spasm. Am J Gastroenterol [Internet]. 1992 Feb [cited 2011 Jan 20];87(2). Available from:

http://www.ncbi.nlm.nih.gov/pubmed/1734695

Bombeck CT, Battle WS, Nyhuss LM. Spasm in the differential diagnosis of gastroesophageal reflux. Arch Surg [Internet]. 1972 Apr [cited 2011 Jan 20];104(4). Available from: http://archsurg.jamanetwork.com/article.aspx?articleid=574316

Chen YM, Ott DJ, Hewson EG, Richter JE, Wu WC, Gelfand DW [et al]. Diffuse esophageal spasm: radiographic and manometric correlation. Radiology [Internet]. 1989 Mar [cited 2011 Jan 20];170(3 Pt 1). Available from: http://www.ncbi.nlm.nih.gov/pubmed/2916033

Pandolfino JE, Kahrilas PJ. AGA technical review on the clinical use of esophageal manometry. Gastroenterology [Internet]. 2005 Jan [cited 2011 Jan 20];128(1). Available from: http://www.gastrojournal.org/article/S0016-5085(04)02004-9/abstract

Spechler SJ, Castell DO. Classification of esophageal motility abnormalities. Gut [Internet]. 2001 Jul [cited 2011 Jan 20];49(1). Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1728354/

Achem SR, Kolts BE, MacMath T, Richter J, Mohr D, Burton L [et al]. Effects of omeprazole versus placebo in treatment of noncardiac chest pain and gastroesophageal reflux. Dig Dis Sci [Internet]. 1997 Oct [cited 2011 Jan 20];42(10). Available from: http://www.ncbi.nlm.nih.gov/pubmed/9365149

Bautista J, Fullerton H, Briseno M, Cui H, Fass R. The effect of an empirical trial of high dose lansoprazole on symptom response of patient with non cardiac chest pain: a randomized, double-blind placebocontrolled, crossover trial. Aliment Pharmacol Ther [internet]. 2004 May [cited 2011 Jan 20];19(20). Available from:

http://www.ncbi.nlm.nih.gov/pubmed/15142202

Dickman R, Emmons S, Cui H, Sewell J Hernandez D, Esquivel RF, Fass R. The effect of a therapeutic trial of high dose rabeprazole on symptom response of patient with non cardiac chest pain: a randomized, double-blind placebo-controlled, crossover trial. Aliment Pharmacol Ther

[Internet]. 2005 Sep [cited 2011 Jan 20];22(6). Available from: http://www.ncbi.nlm.nih.gov/pubmed/16167971

Swamy N. Esophageal spasm: clinical and manometric response to nitroglycerine and long acting nitrites. Gastroenterology [Internet]. 1977 Jan[cited 2011 Jan 20];72(1). Available from:

http://www.ncbi.nlm.nih.gov/pubmed/401445

Orlando RC, Bozymski EM. Clinical and manometric effects of nitroglycerin in diffuse esophageal spasm. N Engl J Med 1973;289(1):23-25.

Kikendal JW, Mellow MH. Effect of sublingual nitroglycerin and long acting nitrate preparations on esophageal motility. Gastroenterology [Internet]. 1980 Oct [cited 2011 Jan 20];79(4). Available from:

http://www.ncbi.nlm.nih.gov/pubmed/6773846

Bortolotti M, Mari C, Giovannini M, Pinna S, Miglioli M, Pandolfo N. Effects of sildenafil on esophageal motility of normal subjects. Dig Dis Sci [Internet]. 2001 Nov [cited 2011 Jan 20];46(11). Available from:

http://www.ncbi.nlm.nih.gov/pubmed/11713926

Eherer AJ, Schwetz I, Hammer HF, Petnehazy T, Scheidl SJ, Weber K, Krejs GJ. Effect of sildenafil on oesophageal motor function in healthy subjects and patients with oesophageal motor disorders. Gut [Internet]. 2002 Jun [cited 2011 Jan 20];50(6). Available from:

http://www.ncbi.nlm.nih.gov/pubmed/12010875

Murray JA, Ledlow A, Launspach J, Evans D, Loveday M, Conklin JL. The effect of recombinant human hemoglobin on esophageal motor function in humans. Gastroenterology [Internet]. 1995 Oct [cited 2011 Jan 20];109(4). Available from:

http://www.ncbi.nlm.nih.gov/pubmed/7557091

Dodds WJ, Dent J, Hogan WJ, Arndofer RC. Effect of atropine on

esophageal motor function in humans. Am J Physiol [Internet]. 1981 Apr [cited 2011 Jan 20];240(4). Available from:

http://www.ncbi.nlm.nih.gov/pubmed/6784581

Erckenbretch E, Berges W, Sonnenberg A. The effects of pirenzepine on esophageal motility. Scand J Gastroenterol [Internet]. 1982 [cited 2011 Jan 20];72. Available from: http://www.ncbi.nlm.nih.gov/pubmed/6957989

Castell DO. Calcium-channel blocking agents for gastrointestinal disorders. Am J Cardiol [Internet]. 1985 Jan [cited 2011 Jan 20];55(3). Available from: http://www.ncbi.nlm.nih.gov/pubmed/3881916

Richter JE, Spurling TJ, Cordova CM, Castell DO. Effects of oral calcium blockers on esophageal contractions. Studies on volunteers and patient with nutcracker esophagus. Dig Dis Sci [Internet]. 1984 Jul [cited 2011 Jan 20];29(7). Available from:

http://www.ncbi.nlm.nih.gov/pubmed/6734370

Cannon RO, Quyyumi AA, Mincemoyer R, Stine AM, Gracely RH, Smith WB. Imipramine in patients with chest pain despite normal coronary angiograms. N Engl J Med [Internet]. 1994 [cited 2011 Jan 20];330. Available from:

http://www.nejm.org/doi/full/10.1056/NEJM199405193302003

Handa M, Mine K, Yamamoto H, Hayashi H, Tsuchida O, Kanazawa F [et al]. Antidepressant treatment of patient with diffuse esophageal spasm: a psychosomatic approach. J Clin Gastroenterol [Internet]. 1999 Apr [cited 2011 Jan 20];28(3). Available from:

http://www.ncbi.nlm.nih.gov/pubmed/10192608

Broekaert D, Fischler B, Sifrim D, Janssens J, Tack J. Influence of citalopram a selective serotonin reuptake inhibitor on esophageal hypersensivity: a double-blind, placebo-controlled study. Aliment

Pharmacol Ther [Internet]. 2006 Feb [cited 2011 Jan 20];23(3). Available from: http://www.ncbi.nlm.nih.gov/pubmed/16422995

Friedenberg F, Gollamudi S, Parkman HP. The use of botulinum toxin for the treatment of motility disorders. Dig Dis Sci [Internet]. 2004 Feb [cited 2011 Jan 20];49(2). Available from: http://www.ncbi.nlm.nih.gov/pubmed/15104353

Storr M, Allescher HS, Rosch T, Born P, Weigert N, Classen M. Treatment of symptomatic diffuse esophageal spasm by endoscopic injections of botulinum toxin: a prospective study with long-term followup. Gastrointest Endosc [Internet]. 2001 Dec [cited 2011 Jan 20];54(6).Available from: http://www.ncbi.nlm.nih.gov/pubmed/11726856

Ebert EC, Ouyang A, Wright SH, Cohen S, Lipshutz WH. Pneumatic dilatation in patient with symptomatic diffuse esophageal spasm and lower esophageal sphincter dysfunction. Dig Dis Sci [Internet]. 1983 Jun

[cited 2011 Jan 20];28(6). Available from:

http://www.ncbi.nlm.nih.gov/pubmed/6615585

Irving JD, Owen WJ, Linsell J, McCullagh M, Keightley A, Anggiansah A. Management of diffuse esophageal spasm with balloon dilatation. Gastrointest Radiol [Internet]. 1992 Jun [cited 2011 Jan 20];17(3). Available from: http://www.ncbi.nlm.nih.gov/pubmed/1612298

Ellis FH. Esophagomyotomy for noncardiac chest pain resulting from diffuse esophageal spasm and related disorders. Am J Med [Internet]. 1992 May [cited 2011 Jan 20];92(5A). Available from:

http://www.ncbi.nlm.nih.gov/pubmed/1595758

Champion JK, Delisle N, Hunt T. Comparison of thoracoscopic and laparoscopic esophagomyotomy with fundoplication for primary motility disorders. Eur J Cardiothorac Surg [Internet]. 1999 Sep [cited 2011 Jan

;16(1). Available from: http://www.ncbi.nlm.nih.gov/pubmed/10536943

Enlaces refback

  • No hay ningún enlace refback.


Copyright (c) 2020 Narmys García Casanova, Raúl Antonio Brizuela Quintanilla

Licencia de Creative Commons
Este obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial 4.0 Internacional.