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Esophageal Dysfunction in Post-lung Transplant: An Enigma. Dysphagia 2023 Jun;38(3):731-743

Date

08/13/2022

Pubmed ID

35960395

DOI

10.1007/s00455-022-10508-3

Scopus ID

2-s2.0-85135807197 (requires institutional sign-in at Scopus site)   3 Citations

Abstract

The prevalence of lung transplants has increased over the years, albeit with a low survival rate amongst all solid organ transplants, including liver and heart transplantation. Microaspiration is one of the primary mechanisms that has been implicated in the pathogenesis of lung injury following lung transplants. Of late, esophageal dysfunction such as gastroesophageal reflux and esophageal hypercontractility is often noted post-lung transplant. However, reflux is associated with chronic allograft lung injury such as bronchiolitis obliterans syndrome, which is one of the predictors for long-term survival in this specialized population. Its role in acute lung injury post-lung transplant is still being explored. This review critically examines the salient points which provide the current understanding of the characteristics, pathophysiology, and implications of esophageal dysfunction following lung transplant.

Author List

Jadcherla AV, Litzenberg K, Balasubramanian G

Author

Gokulakrishnan Balasubramanian MD Associate Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Bronchiolitis Obliterans
Esophageal Diseases
Gastroesophageal Reflux
Humans
Lung Injury
Lung Transplantation