Clinical, endoscopic and manometric features of the primary motor disorders of the esophagus

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

Júlio César Martinez¹  Gustavo Rosa De Almeida Lima¹  Diego Henrique Silva¹  Alexandre Ferreira Duarte¹  Neil Ferreira Novo¹  Ernesto Carlos Da Silva¹  Pérsio Campos Correia Pinto¹  Alexandre Moreira Maia¹ 

关键词: Esophageal motility disorders;    Endoscopy;    Manometry;    Transtornos da motilidade esofágica;    Endoscopia;    Manometria;   

DOI  :  10.1590/S0102-67202015000100009

来源: SciELO

【 摘 要 】

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.

【 授权许可】

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