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Oesophageal syncope.

M R Basker1, D K Cooper

  • 1Department of Surgery, Massachusetts General Hospital/Harvard Medical School, Boston, USA.

Annals of the Royal College of Surgeons of England
|August 10, 2000
PubMed
Summary
This summary is machine-generated.

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See all related articles

Oesophageal syncope, a swallowing-induced loss of consciousness, stems from abnormal vagovagal reflexes causing bradycardia. Pacemaker implantation is the definitive treatment for this potentially lethal condition.

Area of Science:

  • Gastroenterology
  • Cardiology
  • Neurology

Background:

  • Oesophageal syncope is characterized by loss of consciousness during swallowing.
  • It is linked to abnormal vagovagal reflexes causing transient bradycardia.
  • This condition can be associated with cardiac issues, medications, or esophageal lesions.

Purpose of the Study:

  • To investigate the causes and diagnostic approaches for oesophageal syncope.
  • To evaluate management strategies for this potentially lethal condition.

Main Methods:

  • Diagnostic workup includes barium studies, manometry, and ECG monitoring.
  • Assessment involves neurologists, cardiologists, and gastroenterologists.
  • Treatment options range from medical therapy to surgical and device-based interventions.

Related Experiment Videos

Main Results:

  • Many cases present as functional abnormalities without a clear organic cause.
  • Anticholinergic or sympathomimetic agents may offer some relief.
  • Total oesophageal denervation has shown success in symptom prevention.

Conclusions:

  • A comprehensive diagnostic approach is crucial for oesophageal syncope.
  • While medical and surgical options exist, programmed cardiac pacemaker insertion is the definitive treatment.
  • Early identification and management are vital due to the condition's potentially lethal nature.