Esophageal Aperistalsis-Induced Diffuse Aspiration Bronchiolitis

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Authors: Ashok Arbat, Sneha Tirpude, Mitesh Dave, Manoj Vyawahare, Sukhant Bagdia, Sameer Arbat
Publication Date :2016/10/1
Journal : Chest
Volume: 150
Issue: 4
Pages : 268A
Publisher: Elsevier
Description :
DISCUSSION: The patient had several episodes of repeated aspirations, leading to chronic inflammation of the bronchioles. Diffuse aspiration bronchiolitis (DAB) has been proposed to define a clinical entity that is characterized by a chronic inflammation of bronchioles caused by recurrent aspiration of foreign bodies. 1 DAB was originally recognized in the elderly, but can occur in younger patients with achalasia or GERD with similar manifestations. In this condition, the sphincter does not close completely, after food enters the stomach. In absence of concomitant peristalsis, the acid goes back up from the stomach into the esophagus and trachea. In primary/idiopathic esophageal aperistalsis there is failed esophageal contractility and a hypotensive lower esophageal sphincter without a known systemic cause as with our patient. The word secondary is applied to esophageal disorders in systemic disorders such as …