Abstract
Esophageal motility disturbances are common in diabetics in general and are most prevalent in these with peripheral neuropathy or autonomic neuropathy. The usual findings are a decrease in the amplitude of esophageal contractions in the smooth muscle portion of the body, frequent absence of primary peristalsis, simultaneous or repetitive body contractions, and a decrease in the velocity of peristalsis. Radiographically, this may be manifest as delayed esophageal emptying. These changes do not produce symptoms. Dysphagia and chest pain should be thoroughly evaluated and not ascribed to the diabetes. Candidiasis may be more common in diabetics.
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- Castillo S., Aburashed A., Kimmelman J., Alexander L. C. Diffuse intramural esophageal pseudodiverticulosis. New cases and review. Gastroenterology. 1977 Mar;72(3):541–545. [PubMed] [Google Scholar]
- Hollis J. B., Castell D. O., Braddom R. L. Esophageal function in diabetes mellitus and its relation to peripheral neuropathy. Gastroenterology. 1977 Nov;73(5):1098–1102. [PubMed] [Google Scholar]
- Kantrowitz P. A., Fleischli D. J., Butler W. T. Successful treatment of chronic esophageal moniliasis with a viscous suspension of nystatin. Gastroenterology. 1969 Oct;57(4):424–430. [PubMed] [Google Scholar]
- Kodsi B. E., Wickremesinghe C., Kozinn P. J., Iswara K., Goldberg P. K. Candida esophagitis: a prospective study of 27 cases. Gastroenterology. 1976 Nov;71(5):715–719. [PubMed] [Google Scholar]
- Russell C. O., Gannan R., Coatsworth J., Neilsen R., Allen F., Hill L. D., Pope C. E., 2nd Relationship among esophageal dysfunction, diabetic gastroenteropathy, and peripheral neuropathy. Dig Dis Sci. 1983 Apr;28(4):289–293. doi: 10.1007/BF01324943. [DOI] [PubMed] [Google Scholar]
- Smith B. Neuropathology of the oesophagus in diabetes mellitus. J Neurol Neurosurg Psychiatry. 1974 Oct;37(10):1151–1154. doi: 10.1136/jnnp.37.10.1151. [DOI] [PMC free article] [PubMed] [Google Scholar]