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Despite its commonplace occurrence, this condition can often provoke uncertainty for both patients and clinicians. Although the diagnostic criteria used to define this condition has generally become more stringent over time, it is unclear whether the updated criteria result in a more precise clinical diagnosis. While IEM is often implicated with symptoms of dysphagia and gastroesophageal reflux disease, the strength of these associations remains unclear. In this review, we share a practical approach to IEM highlighting its definition and evolution over time, commonly associated clinical symptoms, and important management and treatment considerations. We also share the significance of this condition in patients undergoing evaluation for anti\u2010reflux surgery and consideration for lung transplantation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nmo.14839","type":"journal-article","created":{"date-parts":[[2024,6,4]],"date-time":"2024-06-04T10:07:43Z","timestamp":1717495663000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["A practical approach to ineffective esophageal motility"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8296-1029","authenticated-orcid":false,"given":"Amrit K.","family":"Kamboj","sequence":"first","affiliation":[{"name":"Division of Gastroenterology and Hepatology Cedars\u2010Sinai Medical Center  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David A.","family":"Katzka","sequence":"additional","affiliation":[{"name":"Department of Digestive and Liver Diseases 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