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 corre...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Colégio Brasileiro de Cirurgia Digestiva
2015-01-01
|
| Series: | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202015000100032&tlng=en |
| _version_ | 1818889645347307520 |
|---|---|
| author | Júlio César MARTINEZ Gustavo Rosa de Almeida LIMA Diego Henrique SILVA Alexandre Ferreira DUARTE Neil Ferreira NOVO Ernesto Carlos da SILVA Pérsio Campos Correia PINTO Alexandre Moreira MAIA |
| author_facet | Júlio César MARTINEZ Gustavo Rosa de Almeida LIMA Diego Henrique SILVA Alexandre Ferreira DUARTE Neil Ferreira NOVO Ernesto Carlos da SILVA Pérsio Campos Correia PINTO Alexandre Moreira MAIA |
| author_sort | Júlio César MARTINEZ |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-19T17:12:19Z |
| format | Article |
| id | doaj.art-6b50d46ad4884e328e7bdd9bf34c8fea |
| institution | Directory Open Access Journal |
| issn | 0102-6720 |
| language | English |
| last_indexed | 2024-12-19T17:12:19Z |
| publishDate | 2015-01-01 |
| publisher | Colégio Brasileiro de Cirurgia Digestiva |
| record_format | Article |
| series | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| spelling | doaj.art-6b50d46ad4884e328e7bdd9bf34c8fea2022-12-21T20:13:00ZengColégio Brasileiro de Cirurgia DigestivaABCD: Arquivos Brasileiros de Cirurgia Digestiva0102-67202015-01-01281323510.1590/s0102-67202015000100009Clinical, endoscopic and manometric features of the primary motor disorders of the esophagusJúlio César MARTINEZGustavo Rosa de Almeida LIMADiego Henrique SILVAAlexandre Ferreira DUARTENeil Ferreira NOVOErnesto Carlos da SILVAPérsio Campos Correia PINTOAlexandre Moreira MAIABACKGROUND: 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202015000100032&tlng=enEsophageal motility disordersEndoscopyManometry |
| spellingShingle | Júlio César MARTINEZ Gustavo Rosa de Almeida LIMA Diego Henrique SILVA Alexandre Ferreira DUARTE Neil Ferreira NOVO Ernesto Carlos da SILVA Pérsio Campos Correia PINTO Alexandre Moreira MAIA Clinical, endoscopic and manometric features of the primary motor disorders of the esophagus ABCD: Arquivos Brasileiros de Cirurgia Digestiva Esophageal motility disorders Endoscopy Manometry |
| title | 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_short | 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 |
| topic | Esophageal motility disorders Endoscopy Manometry |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202015000100032&tlng=en |
| work_keys_str_mv | AT juliocesarmartinez clinicalendoscopicandmanometricfeaturesoftheprimarymotordisordersoftheesophagus AT gustavorosadealmeidalima clinicalendoscopicandmanometricfeaturesoftheprimarymotordisordersoftheesophagus AT diegohenriquesilva clinicalendoscopicandmanometricfeaturesoftheprimarymotordisordersoftheesophagus AT alexandreferreiraduarte clinicalendoscopicandmanometricfeaturesoftheprimarymotordisordersoftheesophagus AT neilferreiranovo clinicalendoscopicandmanometricfeaturesoftheprimarymotordisordersoftheesophagus AT ernestocarlosdasilva clinicalendoscopicandmanometricfeaturesoftheprimarymotordisordersoftheesophagus AT persiocamposcorreiapinto clinicalendoscopicandmanometricfeaturesoftheprimarymotordisordersoftheesophagus AT alexandremoreiramaia clinicalendoscopicandmanometricfeaturesoftheprimarymotordisordersoftheesophagus |