| Oesophageal syncope. | |
| | |
MedLine Citation:
|
PMID: 10932658 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Oesophageal syncope is loss of consciousness on swallowing, which is thought to be associated with an abnormal vagovagal reflex that leads to transient bradycardia. Patients with this potentially lethal condition may present to neurologists, cardiologists or gastroenterologists. It may be associated with cardio-active drug therapy, previous myocardial infarction, or with an organic lesion of the lower oesophagus. Barium and manometric studies, in association with ECG monitoring, should, therefore, be carried out in all cases. In many patients, however, it appears to be a functional abnormality for which no cause can be determined. In the absence of a condition necessitating surgical correction, medical therapy in the form of anticholinergic or sympathomimetic agents is occasionally helpful. Total denervation of the affected portion of the oesophagus has successfully prevented further symptoms, but insertion of a programmed cardiac pacemaker is currently the definitive treatment of choice. |
| | |
Authors:
|
M R Basker; D K Cooper |
Related Documents
:
|
16042348 - Regio- and stereoselective fungal oxyfunctionalisation of limonenes. 2432518 - What is the most appropriate stimulation mode in patients with sinus node dysfunction? 2973838 - Use of temporary pacemakers during coronary angioplasty: an evolving experience with ve... 20382968 - Non-invasive assessment of myocardial contractility from force-frequency relationship i... 20403488 - Risk factors for appropriate cardioverter-defibrillator shocks, inappropriate cardiover... 20396478 - Wall-eyed monocular internuclear ophthalmoplegia (wemino) with contraversive ocular til... |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: Annals of the Royal College of Surgeons of England Volume: 82 ISSN: 0035-8843 ISO Abbreviation: Ann R Coll Surg Engl Publication Date: 2000 Jul |
Date Detail:
|
Created Date: 2000-08-11 Completed Date: 2000-08-11 Revised Date: 2009-11-18 |
Medline Journal Info:
|
Nlm Unique ID: 7506860 Medline TA: Ann R Coll Surg Engl Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 249-53 Citation Subset: IM |
Affiliation:
|
Department of Surgery, Massachusetts General Hospital/Harvard Medical School, Boston, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Deglutition
/
physiology* Diagnosis, Differential Esophageal Diseases / complications, diagnosis Humans Syncope, Vasovagal / etiology, physiopathology*, therapy |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Insertion of self-expanding metal stents for malignant dysphagia: assessment of a simple endoscopic ...
Next Document: Fissurectomy as a treatment for anal fissures in children.