High resolution manometry in patients with esophageal motor disorders
Introduction: High-resolution manometry is the gold standard for the study of esophageal motor disorders. Objective: A descriptive, cross-sectional research was carried out in el Centro Nacional de Cirugía de Mínimo Acceso, between September 2018 and December 2019, in 56 patients, diagnosed with eso...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | Spanish |
| Published: |
ECIMED
2021-06-01
|
| Series: | Revista Cubana de Medicina Militar |
| Subjects: | |
| Online Access: | http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1286 |
| _version_ | 1818572133710692352 |
|---|---|
| author | Ludmila Martínez Leyva Vivianne María Anido Escobar Tatiana Amable Días Zunilda Días Drake Raúl Antonio Brizuela Quintanilla Juan Carlos Oliva Rey Eduardo Carlos Veitía Wilson |
| author_facet | Ludmila Martínez Leyva Vivianne María Anido Escobar Tatiana Amable Días Zunilda Días Drake Raúl Antonio Brizuela Quintanilla Juan Carlos Oliva Rey Eduardo Carlos Veitía Wilson |
| author_sort | Ludmila Martínez Leyva |
| collection | DOAJ |
| description | Introduction: High-resolution manometry is the gold standard for the study of esophageal motor disorders.
Objective: A descriptive, cross-sectional research was carried out in el Centro Nacional de Cirugía de Mínimo Acceso, between September 2018 and December 2019, in 56 patients, diagnosed with esophageal motor disorder by high-resolution manometry, aged between 18 and 20 years, who gave their consent to participate in the study. Esophageal achalasia and minor peristalsis disorders were excluded. The variables included were: age, sex, manometric diagnoses and their characteristics, symptoms, types of esophagogastric junction, imaging or endoscopic diagnoses. For the analysis of the results, the percentage, measures of central tendency and Pearson's chi square of homogeneity were used, with a level of statistical significance p ≤ 0.05 and 95 % reliability.
Development: Absent contractility (39,28 %), female sex (58,9 %) and dysphagia (66,07 %) predominated. The obstruction to the flow of the esophagogastric junction corresponded to the highest mean resting pressure of the lower esophageal sphincter (43,28 mmHg) and the mean integrated pressure ratio above 15 mmHg (38,88 mmHg). The hypercontractil esophagus presented mean high integrated distal contractility (5564,25 mmHg/s/cm). Rapid contractions were found in distal esophageal spasm (mean 21,4 cm/s).
Conclusions: High resolution manometry was feasible to be used for the diagnosis of major esophageal motor disorders. |
| first_indexed | 2024-12-14T18:53:14Z |
| format | Article |
| id | doaj.art-fe248c86e1e14f34ae4c2cbe04942f7b |
| institution | Directory Open Access Journal |
| issn | 1561-3046 1561-3046 |
| language | Spanish |
| last_indexed | 2024-12-14T18:53:14Z |
| publishDate | 2021-06-01 |
| publisher | ECIMED |
| record_format | Article |
| series | Revista Cubana de Medicina Militar |
| spelling | doaj.art-fe248c86e1e14f34ae4c2cbe04942f7b2022-12-21T22:51:11ZspaECIMEDRevista Cubana de Medicina Militar1561-30461561-30462021-06-01502e02101286e02101286433High resolution manometry in patients with esophageal motor disordersLudmila Martínez Leyva0Vivianne María Anido Escobar1Tatiana Amable Días2Zunilda Días Drake3Raúl Antonio Brizuela Quintanilla4Juan Carlos Oliva Rey5Eduardo Carlos Veitía Wilson6HMC Dr. Carlos J. FinlayCentro Nacional de Cirugía de Mínimo AccesoHMC Dr. Carlos J. Finlay Especialista de 2do grado en GastroenterologíaCentro Nacional de Cirugía de Mínimo AccesoCNCMAHMC Dr. Carlos J. FinlayHMC Dr. Carlos J. FinlayIntroduction: High-resolution manometry is the gold standard for the study of esophageal motor disorders. Objective: A descriptive, cross-sectional research was carried out in el Centro Nacional de Cirugía de Mínimo Acceso, between September 2018 and December 2019, in 56 patients, diagnosed with esophageal motor disorder by high-resolution manometry, aged between 18 and 20 years, who gave their consent to participate in the study. Esophageal achalasia and minor peristalsis disorders were excluded. The variables included were: age, sex, manometric diagnoses and their characteristics, symptoms, types of esophagogastric junction, imaging or endoscopic diagnoses. For the analysis of the results, the percentage, measures of central tendency and Pearson's chi square of homogeneity were used, with a level of statistical significance p ≤ 0.05 and 95 % reliability. Development: Absent contractility (39,28 %), female sex (58,9 %) and dysphagia (66,07 %) predominated. The obstruction to the flow of the esophagogastric junction corresponded to the highest mean resting pressure of the lower esophageal sphincter (43,28 mmHg) and the mean integrated pressure ratio above 15 mmHg (38,88 mmHg). The hypercontractil esophagus presented mean high integrated distal contractility (5564,25 mmHg/s/cm). Rapid contractions were found in distal esophageal spasm (mean 21,4 cm/s). Conclusions: High resolution manometry was feasible to be used for the diagnosis of major esophageal motor disorders.http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1286manometría de alta resolucióntrastornos motores esofágicosclasificación de chicago. |
| spellingShingle | Ludmila Martínez Leyva Vivianne María Anido Escobar Tatiana Amable Días Zunilda Días Drake Raúl Antonio Brizuela Quintanilla Juan Carlos Oliva Rey Eduardo Carlos Veitía Wilson High resolution manometry in patients with esophageal motor disorders Revista Cubana de Medicina Militar manometría de alta resolución trastornos motores esofágicos clasificación de chicago. |
| title | High resolution manometry in patients with esophageal motor disorders |
| title_full | High resolution manometry in patients with esophageal motor disorders |
| title_fullStr | High resolution manometry in patients with esophageal motor disorders |
| title_full_unstemmed | High resolution manometry in patients with esophageal motor disorders |
| title_short | High resolution manometry in patients with esophageal motor disorders |
| title_sort | high resolution manometry in patients with esophageal motor disorders |
| topic | manometría de alta resolución trastornos motores esofágicos clasificación de chicago. |
| url | http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1286 |
| work_keys_str_mv | AT ludmilamartinezleyva highresolutionmanometryinpatientswithesophagealmotordisorders AT viviannemariaanidoescobar highresolutionmanometryinpatientswithesophagealmotordisorders AT tatianaamabledias highresolutionmanometryinpatientswithesophagealmotordisorders AT zunildadiasdrake highresolutionmanometryinpatientswithesophagealmotordisorders AT raulantoniobrizuelaquintanilla highresolutionmanometryinpatientswithesophagealmotordisorders AT juancarlosolivarey highresolutionmanometryinpatientswithesophagealmotordisorders AT eduardocarlosveitiawilson highresolutionmanometryinpatientswithesophagealmotordisorders |