PMID: 9649001Jul 2, 1998Paper

Hot water swallows improve symptoms and accelerate esophageal clearance in esophageal motility disorders

Journal of Clinical Gastroenterology
G TriadafilopoulosG M Segall

Abstract

Cold liquid ingestion may precipitate episodes of dysphagia and chest pain in patients with spastic esophageal motility disorders. The effect of hot liquids on esophageal symptoms, esophageal peristalsis, and clearance and any potential therapeutic benefit in such patients has not been examined. Using esophageal scintigraphy and manometry, we have investigated the effects of hot water swallows on dysphagia, chest pain, and esophageal motility and clearance in patients with esophageal motility disorders. We studied 48 men and women with intermittent dysphagia to both solids and liquids, chest pain, and/or regurgitation. All patients underwent upper endoscopy, barium swallow, and esophageal manometry using standard techniques. Esophageal scintigraphy assessed esophageal transit time (ETT) and retrograde intraesophageal movement of bolus at baseline (22 degrees C) and after hot (60 degrees C) water swallows. Esophageal manometry assessed the amplitude and duration of esophageal contractions in response to baseline and hot water swallows. Patients were followed clinically for as long as 6 months to assess symptomatic response. We found that baseline esophageal scintigraphy revealed a mean ETT of 48.5 seconds; after hot water swallo...Continue Reading

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References

Feb 1, 1990·Digestive Diseases and Sciences·C P DooleyJ E Valenzuela
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Citations

Jul 3, 2007·Dysphagia·Jane Mertz GarciaMegan Clark
Oct 22, 2005·Digestive Diseases and Sciences·Hariprasad ReddyAsbjørn Mohr Drewes
Apr 19, 2000·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·M Storr, H D Allescher
Oct 30, 2012·Journal of Neurogastroenterology and Motility·Moo In Park
Oct 30, 2012·Journal of Neurogastroenterology and Motility·Yutang RenMin Chang
Oct 24, 2007·Gastroenterology Clinics of North America·Benson T Massey
Oct 14, 2014·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·Y J ChoiW S Jeon
Apr 6, 2004·Gastroenterology Clinics of North America·Sami R Achem
Dec 23, 2016·Journal of Clinical Gastroenterology·Adam D FarmerQasim Aziz
Mar 28, 2008·Journal of Clinical Gastroenterology·Brian E Lacy, Kirsten Weiser
Nov 26, 2010·Journal of Neurogastroenterology and Motility·Eun Mi LeeHyung Hun Kim
Jun 22, 2001·Journal of Clinical Gastroenterology·B T Massey
Oct 28, 2016·Annals of the New York Academy of Sciences·Adam D FarmerEdy Soffer
Oct 7, 2006·Current Opinion in Gastroenterology·C Prakash, R E Clouse
Mar 28, 2020·United European Gastroenterology Journal

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