Caracteristicas clínicas, endoscópicas, manomÚtricas y magnitud de reflujo gastroesofágico ácido patológico en pacientes con esófago en cascanueces: análisis prospectivo de 80 pacientes / Nutcracker esophagus: analysis of 80 patients
Rev. méd. Chile
;
132(2): 160-164, feb. 2004. tab
Artículo
en Español
| LILACS
| ID: lil-361491
RESUMO
Background:
The nutcracker esophagus, a primary motor disorder, is frequently associated with noncardic chest pain.Aim:
To study the clinical, endoscopic, manometric, and pathological features and 24 h acid reflux in patients with nutcracker esophagus. Patients andmethods:
Eighty patients (63 females, aged 26 to 70 years) with nutcracker esophagus, defined as the presence of contraction waves of more than 180 mmHg in the esophageal manometry, were studied. All were subjected to an upper gastrointestinal endoscopy, 24 h esophageal pH monitoring and a new manometric study.Results:
Eighty percent of patients had symptoms suggestive of gastroesophageal reflux, 31 percent had retrosternal pain and 25 percent had dysphagia. Upper endoscopy was normal in 41 percent and showed erosive esophagitis or Barrett esophagus in 27 percent. Fifty percent of patients had an abnormal acid reflux. There were no significant differences in manometric parameters between patients with and without acid reflux.Conclusions:
Symptoms of gastroesophageal reflux not necessarily mean that a pathological reflux is present. Primary motor disorders of the esophagus may cause similar symptoms.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Trastornos de la Motilidad Esofágica
Tipo de estudio:
Factores de riesgo
Límite:
Adulto
/
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Chile
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2004
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Universidad de Chile/CL
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