دورية أكاديمية

What is the real impairment on esophageal motility in patients with Gastroesophageal reflux disease? ; Arquivos de Gastroenterologia

التفاصيل البيبلوغرافية
العنوان: What is the real impairment on esophageal motility in patients with Gastroesophageal reflux disease? ; Arquivos de Gastroenterologia
المؤلفون: Falcão, Angela, Nasi, Ary, Brandão, Jeovana, Sallum, Rubens, Cecconello, Ivan
المصدر: http://dx.doi.org/10.1590/S0004-28032013000200019Test.
بيانات النشر: Brasil
سنة النشر: 2013
مصطلحات موضوعية: Gastroesophageal reflux, Esophageal motility disorders, Barrett esophagus, Manometry
الوصف: P. 111-116 ; Context Impairment of esophageal motility is a common finding in patients with gastroesophageal reflux disease (GERD) as reduced lower esophageal sphincter (LES) basal pressure. A very low LES pressure might facilitate the occurrence of more gastroesophageal reflux whereas abnormal esophageal peristalsis may contribute to impaired esophageal clearance after reflux. Objective Evaluate the esophageal motor function of the lower esophageal sphincter and esophageal body in the various forms of gastroesophageal reflux disease. Methods The manometrics records of 268 patients, who had evaluation of the esophageal motility as part of the diagnostic gastroesophageal reflux disease were split into four groups, as follows: 33 patients who had no esophagitis; 92 patients who had erosive esophagitis; 101 patients who had short Barrett's esophagus and 42 patients who had long Barrett's esophagus. Results The group who had long Barrett's esophagus showed smaller mean LES pressure and higher percentage of marked LES hypotonia; in the distal segment of the esophageal body the this group showed higher percentage of marked hypocontractility of the distal segment (<30 mm Hg); this same group showed higher percentage of esophageal motility disorders. Conclusions The most intense esophageal motility disorders and lower pressure of lower esophageal sphincter were noted in the group with long Barrett's esophagus. Those with reflux esophagitis and short Barrett's esophagus had esophageal motility impairment, intermediate among patients with esophagitis and long Barrett's esophagus. Patients with typical symptoms of gastroesophageal reflux but without esophagitis by endoscopy study showed no impairment of esophageal motility.
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: English
تدمد: 0004-2803
العلاقة: http://repositorio.ufba.br/ri/handle/ri/16726Test; v. 50, n. 2
الإتاحة: https://doi.org/10.1590/S0004-28032013000200019Test
http://repositorio.ufba.br/ri/handle/ri/16726Test
حقوق: Acesso Aberto
رقم الانضمام: edsbas.9B8105BD
قاعدة البيانات: BASE