Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
CHEST PAIN AND REAPPEARANCE OF ESOPHAGEAL PERISTALSIS IN TREATED ACHALASIA
Autore:
PAPO M; MEARIN F; CASTRO A; ARMENGOL JR; MALAGELADA JR;
Indirizzi:
AUTONOMOUS UNIV BARCELONA,HOSP GEN VALLE HEBRON,DIGEST SYST RES UNIT E-08035 BARCELONA SPAIN AUTONOMOUS UNIV BARCELONA,HOSP GEN VALLE HEBRON,DIGEST SYST RES UNIT E-08035 BARCELONA SPAIN
Titolo Testata:
Scandinavian journal of gastroenterology
fascicolo: 12, volume: 32, anno: 1997,
pagine: 1190 - 1194
SICI:
0036-5521(1997)32:12<1190:CPAROE>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
IDIOPATHIC ACHALASIA; PNEUMATIC DILATATION; FORCEFUL DILATATION; MOTOR DISORDERS; BOTULINUM TOXIN; HELLERS MYOTOMY; RETURN; SPASM; THERAPY;
Keywords:
ACHALASIA; CHEST PAIN; DYSPHAGIA; ESOPHAGEAL APERISTALSIS; ESOPHAGEAL PERISTALSIS; METALLIC DILATATION; PNEUMATIC DILATATION;
Tipo documento:
Article
Natura:
Periodico
Citazioni:
27
Recensione:
Indirizzi per estratti:
Citazione:
M. Papo et al., "CHEST PAIN AND REAPPEARANCE OF ESOPHAGEAL PERISTALSIS IN TREATED ACHALASIA", Scandinavian journal of gastroenterology, 32(12), 1997, pp. 1190-1194

Abstract

Background: We wanted to evaluate the clinical significance of the esophageal peristalsis that appears in some achalasia patients after treatment. Methods: We prospectively investigated the reappearance of esophageal peristalsis in 106 achalasic patients treated with forceful dilatation under endoscopic control (86 metallic dilatations and 20 pneumatic dilatations) and followed up clinically and manometrically for 1year. Patients were divided in two groups in accordance with the presence (n = 26) or persistent absence (n = 80) of postdilatation esophageal peristalsis. Results: Before treatment, clinical data and manometric findings were comparable in both groups except for esophageal wave amplitude, which was higher in patients with postdilatation peristalsis (36 +/- 5 mmHg versus 24 +/- 2 mmHg, P < 0.05). One year after dilatation manometric findings were similar in the two groups, but esophageal wave amplitude remained higher in the group with postdilatation peristalsis (46 +/- 3 mmHg venus 21 +/- 2 mmHg, P < 0.05). The proportionof patients with persistent dysphagia was similar in the two groups (15% versus 12.5%). However, 10 patients with postdilatation peristalsis (38%) complained of chest pain as opposed to only 5 patients (6%) inthe group with aperistalsis (P < 0.01). Conclusion: The appearance ofesophageal peristalsis after forceful dilatation in achalasic patients is frequently associated with persistent or new chest pain.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/11/20 alle ore 22:05:52