A functional study of caustic strictures of the esophagus in children
The objective of the present study was to assess esophageal motor function in 21 children (7.5 ± 2.9 years) with caustic strictures. Esophageal manometry was performed using a water-infusion system interfaced with a polygraph and displayed on a computer screen. The data were compared with those obta...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Divulgação Científica
2004-11-01
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| Series: | Brazilian Journal of Medical and Biological Research |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2004001100005 |
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| author | E.A.L. Da-Costa-Pinto T.K. Dorsa A. Altimani N.A. Andreollo S.R. Cardoso D.J. Morais J.M. Bustorff-Silva |
| author_facet | E.A.L. Da-Costa-Pinto T.K. Dorsa A. Altimani N.A. Andreollo S.R. Cardoso D.J. Morais J.M. Bustorff-Silva |
| author_sort | E.A.L. Da-Costa-Pinto |
| collection | DOAJ |
| description | The objective of the present study was to assess esophageal motor function in 21 children (7.5 ± 2.9 years) with caustic strictures. Esophageal manometry was performed using a water-infusion system interfaced with a polygraph and displayed on a computer screen. The data were compared with those obtained from 9 healthy children. Radionuclide transit was determined by studying deglutition of a single bolus of 99mTc pertechnetate in 10 ml of water. Non-peristaltic low-amplitude and long-duration waves were the most common findings detected in patients with strictures longer than 20% of esophageal length (N = 11). Compared with the control group, these patients presented lower mean amplitude and longer mean duration of waves (24.4 ± 11.2 vs 97.9 ± 23.7 mmHg, P < 0.05, and 6.7 ± 2.4 vs 1.6 ± 0.1 s, P < 0.05, respectively). Six patients presented low-amplitude waves just below the constricted site. Ten children presented delayed esophageal transit. There was an association between dysphagia and abnormalities on manometry (P = 0.02) and between symptoms and scintigraphy data (P = 0.01). Dysphagia in caustic strictures is due to esophageal motility abnormalities, which are closely related to the scarred segment. |
| first_indexed | 2024-12-23T19:52:35Z |
| format | Article |
| id | doaj.art-d194ce1559284baf94a95edcc971cdf4 |
| institution | Directory Open Access Journal |
| issn | 0100-879X 1414-431X |
| language | English |
| last_indexed | 2024-12-23T19:52:35Z |
| publishDate | 2004-11-01 |
| publisher | Associação Brasileira de Divulgação Científica |
| record_format | Article |
| series | Brazilian Journal of Medical and Biological Research |
| spelling | doaj.art-d194ce1559284baf94a95edcc971cdf42022-12-21T17:33:20ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research0100-879X1414-431X2004-11-0137111623163010.1590/S0100-879X2004001100005A functional study of caustic strictures of the esophagus in childrenE.A.L. Da-Costa-PintoT.K. DorsaA. AltimaniN.A. AndreolloS.R. CardosoD.J. MoraisJ.M. Bustorff-SilvaThe objective of the present study was to assess esophageal motor function in 21 children (7.5 ± 2.9 years) with caustic strictures. Esophageal manometry was performed using a water-infusion system interfaced with a polygraph and displayed on a computer screen. The data were compared with those obtained from 9 healthy children. Radionuclide transit was determined by studying deglutition of a single bolus of 99mTc pertechnetate in 10 ml of water. Non-peristaltic low-amplitude and long-duration waves were the most common findings detected in patients with strictures longer than 20% of esophageal length (N = 11). Compared with the control group, these patients presented lower mean amplitude and longer mean duration of waves (24.4 ± 11.2 vs 97.9 ± 23.7 mmHg, P < 0.05, and 6.7 ± 2.4 vs 1.6 ± 0.1 s, P < 0.05, respectively). Six patients presented low-amplitude waves just below the constricted site. Ten children presented delayed esophageal transit. There was an association between dysphagia and abnormalities on manometry (P = 0.02) and between symptoms and scintigraphy data (P = 0.01). Dysphagia in caustic strictures is due to esophageal motility abnormalities, which are closely related to the scarred segment.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2004001100005Caustic esophagitisEsophageal dysfunctionManometryEsophageal transit |
| spellingShingle | E.A.L. Da-Costa-Pinto T.K. Dorsa A. Altimani N.A. Andreollo S.R. Cardoso D.J. Morais J.M. Bustorff-Silva A functional study of caustic strictures of the esophagus in children Brazilian Journal of Medical and Biological Research Caustic esophagitis Esophageal dysfunction Manometry Esophageal transit |
| title | A functional study of caustic strictures of the esophagus in children |
| title_full | A functional study of caustic strictures of the esophagus in children |
| title_fullStr | A functional study of caustic strictures of the esophagus in children |
| title_full_unstemmed | A functional study of caustic strictures of the esophagus in children |
| title_short | A functional study of caustic strictures of the esophagus in children |
| title_sort | functional study of caustic strictures of the esophagus in children |
| topic | Caustic esophagitis Esophageal dysfunction Manometry Esophageal transit |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2004001100005 |
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