{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T15:35:33Z","timestamp":1792510533327,"version":"4.5.0"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T00:00:00Z","timestamp":1732492800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,7]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>While it is commonly known that patients with rheumatologic diseases can have esophageal dysfunction, this association is insufficiently understood. The aim is to determine the prevalence and characteristics of esophageal motility disorders in patients with rheumatic diseases. This is a single-center retrospective study of adults with rheumatologic disease who underwent high-resolution esophageal manometry (HREM). Those with and without a motility disorder (defined per Chicago classification CCv3.0 criteria, given the timing of the prior studies) were compared and multivariable logistic regression was used to determine odds of motility disorder by rheumatic disease. Of 289 patients, the mean age was 60.5\u2009\u00b1\u200913.8\u00a0years. Rheumatic diseases included Raynaud\u2019s (42%), rheumatoid arthritis (RA) (39%), Sjogren\u2019s (21%), systemic lupus erythematous (19%), systemic sclerosis (17%), and mixed connective tissue disease (13%). On HREM, 58% had an esophageal motility disorder: achalasia (5%), EGJ outflow obstruction (20%), jackhammer (8%), diffuse esophageal spasm (1%), ineffective esophageal motility (28%), and fragmented peristalsis (2%). Of note, 50% of the sample with a normal barium swallow had an esophageal dysmotility disorder on HREM. Those with psoriatic arthritis were less likely to have esophageal dysmotility (73% vs. 27%; P\u2009=\u20090.04). There was decreased odds of esophageal hypocontractility in those with RA (OR [95%CI]: 0.27 [0.12\u20130.58]) and increased odds (OR [95%CI]: 3.13 [1.16\u20138.41]) of esophageal hypocontractility among those with scleroderma. Esophageal motor disorders were found in more than half of patients with rheumatologic diseases who underwent HREM. HREM should be considered in patients with rheumatic conditions presenting with esophageal symptoms.<\/jats:p>","DOI":"10.1093\/dote\/doae108","type":"journal-article","created":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T01:12:47Z","timestamp":1732583567000},"source":"Crossref","is-referenced-by-count":4,"title":["High prevalence of esophageal motility disorders in patients with rheumatologic diseases"],"prefix":"10.1093","volume":"38","author":[{"given":"Sumana","family":"Reddy","sequence":"first","affiliation":[{"name":"Division of Gastroenterology and Hepatology, University of Texas Southwestern Medical Center , Dallas, TX ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beyla","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of North Carolina School of Medicine , Chapel Hill, NC,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan S","family":"Dellon","sequence":"additional","affiliation":[{"name":"Center for Esophageal Diseases and Swallowing , Division of Gastroenterology and Hepatology, Center for Gastrointestinal Biology and Disease, Chapel Hill, NC,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swathi","family":"Eluri","sequence":"additional","affiliation":[{"name":"Center for Esophageal Diseases and Swallowing , Division of Gastroenterology and Hepatology, Center for Gastrointestinal Biology and Disease, Chapel Hill, NC,","place":["USA"]},{"name":"Division of Gastroenterology and Hepatology, Mayo Clinic , Jacksonville, FL ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,11,25]]},"reference":[{"issue":"6","key":"2025010911473761500_ref1","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1093\/rheumatology\/ken029","article-title":"Dysphagia and other manifestations of oesophageal involvement in the musculoskeletal diseases","volume":"47","author":"Sheehan","year":"2008","journal-title":"Rheumatology (Oxford)"},{"issue":"3 Suppl 29","key":"2025010911473761500_ref2","first-page":"S15","article-title":"Assessment of gastrointestinal involvement","volume":"21","author":"Clements","year":"2003","journal-title":"Clin Exp Rheumatol"},{"issue":"9","key":"2025010911473761500_ref3","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1097\/01.mcg.0000225549.19127.90","article-title":"Esophageal disease in scleroderma","volume":"40","author":"Ebert","year":"2006","journal-title":"J Clin Gastroenterol"},{"issue":"5","key":"2025010911473761500_ref4","first-page":"291","article-title":"Motility disorders of the esophagus in progressive systemic scleroderma. Pathophysiology, diagnosis and therapy","volume":"39","author":"Feussner","year":"1988","journal-title":"Hautarzt"},{"issue":"6","key":"2025010911473761500_ref5","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1097\/BOR.0000000000000117","article-title":"Evaluation and management of gastrointestinal manifestations in scleroderma","volume":"26","author":"Kirby","year":"2014","journal-title":"Curr Opin Rheumatol"},{"issue":"1","key":"2025010911473761500_ref6","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/0049-0172(94)90097-3","article-title":"Gastrointestinal manifestations of systemic sclerosis","volume":"24","author":"Abu-Shakra","year":"1994","journal-title":"Semin Arthritis Rheum"},{"issue":"1","key":"2025010911473761500_ref7","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/0016-5085(80)90091-8","article-title":"The gastrointestinal manifestations of scleroderma: pathogenesis and 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Exp Rheumatol"},{"issue":"10","key":"2025010911473761500_ref11","doi-asserted-by":"publisher","first-page":"e46874","DOI":"10.7759\/cureus.46874","article-title":"Esophageal dysmotility disorder and dysphagia as initial manifestations of lupus","volume":"15","author":"Hegazy","year":"2023","journal-title":"Cureus"},{"issue":"3","key":"2025010911473761500_ref12","doi-asserted-by":"publisher","first-page":"e23208","DOI":"10.7759\/cureus.23208","article-title":"Hidden in plain sight: esophageal dysmotility in patients with systemic lupus erythematosus","volume":"14","author":"Turshudzhyan","year":"2022","journal-title":"Cureus"},{"issue":"1","key":"2025010911473761500_ref13","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/BF00267338","article-title":"Esophageal manometric findings in autoimmune rheumatic diseases: is scleroderma esophagus a specific entity?","volume":"7","author":"Tsianos","year":"1987","journal-title":"Rheumatol Int"},{"issue":"2","key":"2025010911473761500_ref14","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1111\/nmo.12477","article-title":"The Chicago Classification of esophageal motility disorders, v3.0","volume":"27","author":"Kahrilas","year":"2015","journal-title":"Neurogastroenterol Motil"},{"issue":"5","key":"2025010911473761500_ref15","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1001\/archinte.1976.03630050063011","article-title":"Esophageal motor dysfunction in systemic diseases","volume":"136","author":"Mukhopadhyay","year":"1976","journal-title":"Arch Intern Med"},{"issue":"1","key":"2025010911473761500_ref16","first-page":"25","article-title":"Rheumatologic disorders in patients undergoing esophageal manometry-prevalence, clinical presentation, endoscopy findings and esophageal manometry findings","volume":"44","author":"Jain","year":"2023","journal-title":"Trop 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