ABSTRACT
Of 69 patients with non-cardiac chest pain, one third had abnormal esophageal motility as evidenced by basal esophageal manometry. 8 patients (12%) reported chest pain during a provocation test (edrophonium). While this pain seemed similar to the spontaneous chest pain described by 7 patients, it was not associated with manometric changes in 30% of these cases. The causal relationship between disorders of esophageal motility and non-cardiac chest pain has still to be confirmed, and caution must be exercised in interpreting edrophonium tests.
Subject(s)
Chest Pain/diagnosis , Edrophonium , Esophageal Motility Disorders/diagnosis , Adult , Aged , Aged, 80 and over , Chest Pain/etiology , Esophageal Motility Disorders/complications , False Positive Reactions , Female , Gastrointestinal Motility/drug effects , Humans , Male , Manometry/methods , Middle AgedABSTRACT
A case of cholestasis induced by ulcerative papillitis in an 11 month-old boy with AIDS is described. Resolution of cholestasis has been achieved with medical therapy. The authors underline the necessity of repeated endoscopic follow-up to evaluate the risk of secondary papillary stenosis, a complication usually observed in adults.
Subject(s)
Acquired Immunodeficiency Syndrome/complications , Ampulla of Vater/diagnostic imaging , Cholestasis/etiology , Common Bile Duct Diseases/complications , Ulcer/complications , Cholestasis/diagnosis , Common Bile Duct Diseases/diagnosis , Endoscopy , Humans , Infant , Male , Radiography , Ulcer/diagnosisABSTRACT
A case of intraluminal duodenal diverticulum associated with partial situs inversus in a 15 year-old girl is reported. Etiopathogenicity is discussed. The pathological characteristics explain that surgery associated with upper digestive endoscopy had to be performed and why endoscopic excision was not possible in this case.
