[New aspects of clinico-roentgenological evaluation of manifestations of motility disorders of the esophagus and esophagogastric junction].

: After a brief review of motility disorders of the oesophagus and oesophagogastric junction the authors present findings on the instability of the manifestations of impaired motility after a certain time interval in the same patient. These changes have an evolutional character and it is assumed that variants of the same pathological entity are involved. The picture of corkscrew oesophagus develops into a diffuse spasm of the oesophagus and finally into achalasia. In gastrooesophageal reflux the controversy concentrates on the finding of 24-hour continuous examination (pH-metry and manometry) and changes of the mucosal lining of the distal oesophagus. Changes of the lining are associated with therapeutic advances. In order to improve the therapeutic procedure we recommend dispensarization of the patients in gastroenterological centres.