XXXX -like @entity662 associated with @entity2472 of the esophagus.

@entity1 @entity662 @entity338 @entity951 @entity1282 @entity453 @entity1319 @entity2472
We reviewed 123 consecutive @entity1 who underwent esophageal function testing to determine the prevalence and clinical characteristics of the syndrome of @entity2472 ( @entity2472 ). Twenty-eight @entity1 (23%) were found to have @entity2472 , including 16 males and 12 females with a median age of 54 years. Barium esophograms yielded no evidence of @entity1319 , while 35% of those tested had pathologic gastroesophageal acid reflux. Twenty (71%) were initially referred for evaluation of @entity951 -like @entity662 , and 8 were referred with other symptoms. Of those with @entity662 , 19 initially underwent extensive evaluation for @entity453 before the diagnosis of @entity2472 . Symptoms of @entity338 , and @entity1282 were absent or minimal in most @entity1 . Lower esophageal sphincter pressure was normal in 27 @entity1 , and lower esophageal sphincter relaxation was normal in all @entity1 . Mean distal esophageal peak peristaltic pressure was 147.8 mm Hg, while the highest peak peristaltic pressure for each @entity1 averaged 193.2 mm Hg. Seven @entity1 had mean peristaltic wave durations of more than 7 seconds. @entity1 with atypical @entity662 or those with typical @entity951 in whom @entity453 is eliminated as a possible cause should be evaluated for @entity2472 with esophageal manometry. @entity1 with symptoms are usually successfully treated with smooth muscle relaxants, and surgical intervention is rarely necessary.
