Cricopharyngeal myotomy

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Cricopharyngeal myotomy is a surgical sectioning of the cricopharyngeus muscle, also known as the upper esophageal sphincter, that has been advocated for the treatment of cricopharyngeal spasm, or cricopharyngeal achalasia, that leads to cervical dysphagia in the clinical setting. [1]

This surgery can be used for Retrograde cricopharyngeal dysfunction (R-CPD) a complication causing the inability to burp. [2] [3]

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<span class="mw-page-title-main">Retrograde cricopharyngeal dysfunction</span> Medical condition

Retrograde cricopharyngeus dysfunction (R-CPD) is a medical condition first identified by Dr Robert Bastian of the Bastian Voice Institute in which people are unable to burp. Some with the condition are also unable to vomit, or can only do so with great difficulty. It is a lifelong problem that is usually first noted in adolescence, but has also been reported as early as infancy. Most people with this condition also complain of frequent bloating, "gurgling noises" from the throat, frequent flatulence and poor tolerance to carbonated beverages. Many sufferers experience noticeable abdominal distension, with men and women alike saying they look "six months pregnant" by the end of the day. As air is released through the night, the abdomen will assume a more normal appearance by morning.

References

  1. Cricopharyngeal Myotomy at eMedicine
  2. Bastian, Robert W.; Hoesli, Rebecca C. (January 2020). "Partial Cricopharyngeal Myotomy for Treatment of Retrograde Cricopharyngeal Dysfunction". OTO Open. 4 (2): 2473974X2091764. doi:10.1177/2473974X20917644. PMC   7163242 . PMID   32328538.
  3. Bastian, Robert W.; Smithson, Melissa L. (15 March 2019). "Inability to Belch and Associated Symptoms Due to Retrograde Cricopharyngeus Dysfunction: Diagnosis and Treatment". OTO Open. 3 (1): 2473974X1983455. doi:10.1177/2473974X19834553. PMC   6572913 . PMID   31236539.