1. Introduction

(We would like to acknowledge and thank Dr. I. T. Beck for his contribution of several of the figures for the chapter and valuable editorial advice.)

The esophagus is a hollow muscular organ whose primary function is to propel into the stomach the food or fluid bolus that it receives from the pharynx. Symptoms of esophageal disease are among the most commonly encountered in gastroenterology. Fortunately, most symptoms are due to benign disease that can be easily remedied. The physician must be on the lookout, however, for the more serious disorders, which can present with a similar spectrum of symptoms. This chapter will focus on the pathophysiology, diagnosis and management of the more common esophageal disorders. Rare diseases involving the esophagus will be dealt with only briefly.