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UPMC’s Dr. Kenneth Fasanella presents on the background of GERD and esophgeal dysmotility and the diagnostic techniques to evaluate them. He also discusses the literature behind association between esophageal disease and several pulmonary conditions as well as reviews the literature regarding lung transplant as it pertains to esophageal disease.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Improve outcomes of patients with chronic cough, asthma and advanced lung disease by recognizing when an esophageal disorder may be a significant contributing factor
  • Incorporate knowledge of esophageal function patterns associated with chronic lung disease into more thoughtful non-surgical treatments
  • Improve lung transplantation outcomes through evaluation and referral for esophageal function testing and avoidance of potentially harmful surgery

Reading Resources:

  1. Seccombe, J. et al. Esophageal motor disease and reflux patterns in patients with advanced pulmonary disease undergoing lung transplant evaluation. Neurogastroenterol Motil (2013) 25: 657-e508.
  2. Castor, J. M. et al.  Gastroesophageal Reflux and Altered Motility in Lung Transplant Rejection. Neurogastroenterol Motil. 2010 August; 22(8): 841-850.
  3. Wood, R. K. Esophageal Dysmotility, Gastro-esophageal Reflux Disease and Lung Transplantation: What is the Evidence?  Curr Gastroenterol Rep (2015) 17:48
  4. Sweet, M. P. Gastro-oesophageal refllux and aspiration in patients with advanced lung disease. Thorax. 2009; 64:167-173.


Dr. Fasanella has reported no relevant relationships with any entities producing health care goods or services.

All presenters disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above.  No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.075) continuing education units (CEU) which are equivalent to .75 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 4/28/2017 | Last Modified On: 4/28/2017 | Expires: 4/30/2018

This course has been expired.