A consolidation of ideas regarding the pathogenesis and management of esoph
ageal motor disorders occurred over the past year. The development and appl
ication of diagnostic techniques has stimulated new thinking about the even
ts responsible for peristalsis and has provided novel avenues for studying
mechanisms of symptom production. Achalasia remains the most investigated a
nd understood motor disorder, and the year's research focused heavily on ma
nagement approaches for this important condition. Other topics addressed in
this review include proximal esophageal symptoms and disorders, spastic di
sorders, and esophageal hypomotility. (C) 1999 Lippincott Williams & Wilkin
s, Inc.