Clinical, endoscopic and manometric features of the primary motor disorders of the esophagus
BACKGROUND: Significant incidence, diagnostic difficulties, clinical relevance and therapeutic efficacy associated with the small number of publications on the primary esophageal motor disorders, motivated the present study. AIM: To determine the manometric prevalence of these disorders and correlate them to the endoscopic and clinical findings. METHODS: A retrospective study of 2614 patients, being 1529 (58.49%) women and 1085 (41.51%) men. From 299 manometric examinations diagnosed with primary esophageal motor disorder, were sought-clinical data (heartburn, regurgitation, dysphagia, odynophagia, non-cardiac chest pain, pharyngeal globe and extra-esophageal symptoms) and/or endoscopic (hiatal hernia, erosive esophagitis, food waste) that motivated the performance of manometry. RESULTS: Were found 49 cases of achalasia, 73 diffuse spasm, 89 nutcracker esophagus, 82 ineffective esophageal motility, and six lower esophageal sphincter hypertension. In relation to the correlations, it was observed that in 119 patients clinical conditions were associated with dysphagia, found in achalasia more than in other conditions; in relationship between endoscopic findings and clinical conditions there was no statistical significance between data. CONCLUSION: The clinical and endoscopic findings have little value in the characterization of the primary motor disorders of the esophagus, showing even more the need for manometry, particularly in the preoperative period of gastroesophageal reflux disease.
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Colégio Brasileiro de Cirurgia Digestiva
2015
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oai:scielo:S0102-672020150001000322017-07-31Clinical, endoscopic and manometric features of the primary motor disorders of the esophagusMARTINEZ,Júlio CésarLIMA,Gustavo Rosa de AlmeidaSILVA,Diego HenriqueDUARTE,Alexandre FerreiraNOVO,Neil FerreiraSILVA,Ernesto Carlos daPINTO,Pérsio Campos CorreiaMAIA,Alexandre Moreira Esophageal motility disorders Endoscopy Manometry BACKGROUND: Significant incidence, diagnostic difficulties, clinical relevance and therapeutic efficacy associated with the small number of publications on the primary esophageal motor disorders, motivated the present study. AIM: To determine the manometric prevalence of these disorders and correlate them to the endoscopic and clinical findings. METHODS: A retrospective study of 2614 patients, being 1529 (58.49%) women and 1085 (41.51%) men. From 299 manometric examinations diagnosed with primary esophageal motor disorder, were sought-clinical data (heartburn, regurgitation, dysphagia, odynophagia, non-cardiac chest pain, pharyngeal globe and extra-esophageal symptoms) and/or endoscopic (hiatal hernia, erosive esophagitis, food waste) that motivated the performance of manometry. RESULTS: Were found 49 cases of achalasia, 73 diffuse spasm, 89 nutcracker esophagus, 82 ineffective esophageal motility, and six lower esophageal sphincter hypertension. In relation to the correlations, it was observed that in 119 patients clinical conditions were associated with dysphagia, found in achalasia more than in other conditions; in relationship between endoscopic findings and clinical conditions there was no statistical significance between data. CONCLUSION: The clinical and endoscopic findings have little value in the characterization of the primary motor disorders of the esophagus, showing even more the need for manometry, particularly in the preoperative period of gastroesophageal reflux disease.info:eu-repo/semantics/openAccessColégio Brasileiro de Cirurgia DigestivaABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.28 n.1 20152015-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202015000100032en10.1590/s0102-67202015000100009 |
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MARTINEZ,Júlio César LIMA,Gustavo Rosa de Almeida SILVA,Diego Henrique DUARTE,Alexandre Ferreira NOVO,Neil Ferreira SILVA,Ernesto Carlos da PINTO,Pérsio Campos Correia MAIA,Alexandre Moreira |
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MARTINEZ,Júlio César LIMA,Gustavo Rosa de Almeida SILVA,Diego Henrique DUARTE,Alexandre Ferreira NOVO,Neil Ferreira SILVA,Ernesto Carlos da PINTO,Pérsio Campos Correia MAIA,Alexandre Moreira Clinical, endoscopic and manometric features of the primary motor disorders of the esophagus |
author_facet |
MARTINEZ,Júlio César LIMA,Gustavo Rosa de Almeida SILVA,Diego Henrique DUARTE,Alexandre Ferreira NOVO,Neil Ferreira SILVA,Ernesto Carlos da PINTO,Pérsio Campos Correia MAIA,Alexandre Moreira |
author_sort |
MARTINEZ,Júlio César |
title |
Clinical, endoscopic and manometric features of the primary motor disorders of the esophagus |
title_short |
Clinical, endoscopic and manometric features of the primary motor disorders of the esophagus |
title_full |
Clinical, endoscopic and manometric features of the primary motor disorders of the esophagus |
title_fullStr |
Clinical, endoscopic and manometric features of the primary motor disorders of the esophagus |
title_full_unstemmed |
Clinical, endoscopic and manometric features of the primary motor disorders of the esophagus |
title_sort |
clinical, endoscopic and manometric features of the primary motor disorders of the esophagus |
description |
BACKGROUND: Significant incidence, diagnostic difficulties, clinical relevance and therapeutic efficacy associated with the small number of publications on the primary esophageal motor disorders, motivated the present study. AIM: To determine the manometric prevalence of these disorders and correlate them to the endoscopic and clinical findings. METHODS: A retrospective study of 2614 patients, being 1529 (58.49%) women and 1085 (41.51%) men. From 299 manometric examinations diagnosed with primary esophageal motor disorder, were sought-clinical data (heartburn, regurgitation, dysphagia, odynophagia, non-cardiac chest pain, pharyngeal globe and extra-esophageal symptoms) and/or endoscopic (hiatal hernia, erosive esophagitis, food waste) that motivated the performance of manometry. RESULTS: Were found 49 cases of achalasia, 73 diffuse spasm, 89 nutcracker esophagus, 82 ineffective esophageal motility, and six lower esophageal sphincter hypertension. In relation to the correlations, it was observed that in 119 patients clinical conditions were associated with dysphagia, found in achalasia more than in other conditions; in relationship between endoscopic findings and clinical conditions there was no statistical significance between data. CONCLUSION: The clinical and endoscopic findings have little value in the characterization of the primary motor disorders of the esophagus, showing even more the need for manometry, particularly in the preoperative period of gastroesophageal reflux disease. |
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Colégio Brasileiro de Cirurgia Digestiva |
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2015 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202015000100032 |
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