| Characteristics of timed barium esophagogram in newly diagnosed idiopathic achalasia: clinical and manometric correlates. | |
| | |
MedLine Citation:
|
PMID: 17325917 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: To describe timed barium esophagogram (TBE) characteristics in patients with newly diagnosed idiopathic achalasia, and to correlate these with clinical and manometric variables. MATERIAL AND METHODS: Forty-six consecutive patients with newly diagnosed achalasia were examined with TBE. Esophageal emptying was assessed using the height, area, and volume of the barium column. Subjective evaluation was performed according to a standardized protocol in all patients. Objective diagnostic evaluation included manometry. RESULTS: At the 1-min time point after contrast ingestion, the static parameters median height, maximum, and mean width of the barium column were 16.0, 4.4, and 3.3 cm, respectively. Emptying, expressed as volume of barium, showed significant inverse correlation with the resting and the maximal relaxing pressure of the lower esophageal sphincter (LES) (R = -0.34 and R = -0.54, respectively). There was also an inverse correlation between emptied volume at TBE and the duration of symptoms (R = -0.36), and between barium column width and postprandial chest pain (R = -0.44). CONCLUSION: All patients with newly diagnosed achalasia presented with delayed emptying of barium the esophagus at TBE. The estimated emptied volume of barium (related to the ingested volume) correlated inversely with the basal tone and the relaxation pressure of the LES. Including estimation of the volume of emptied barium at TBE resulted in closer correlation with manometric values of LES tone than using the parameters traditionally recorded. |
| | |
Authors:
|
M Andersson; S Kostic; M Ruth; H Lönroth; A Kjellin; M Hellström; L Lundell |
Related Documents
:
|
12819947 - Study of the functional activity of the cecocolonic junction with identification of a "... 1265437 - The effect of carbachol on resting gastro-oesophageal sphincter pressure and serum gast... 8317407 - Postoperative motor function and mucosal blood flow of lower esophagus: comparison betw... 3605507 - Surgical treatment of the gastroesophageal reflux syndrome in infants and children. 1150017 - Similarity of arterial and intravenous vasopressin on portal and systemic hemodynamics. 17823597 - Contemplative meditation reduces ambulatory blood pressure and stress-induced hypertens... |
Publication Detail:
|
Type: Evaluation Studies; Journal Article |
Journal Detail:
|
Title: Acta radiologica (Stockholm, Sweden : 1987) Volume: 48 ISSN: 0284-1851 ISO Abbreviation: Acta Radiol Publication Date: 2007 Feb |
Date Detail:
|
Created Date: 2007-02-27 Completed Date: 2007-03-30 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8706123 Medline TA: Acta Radiol Country: Sweden |
Other Details:
|
Languages: eng Pagination: 2-9 Citation Subset: IM |
Affiliation:
|
Departments of Radiology, Otorhinolaryngology and Surgery, Sahlgrenska University Hospital, Göteborg, Sweden. mats.n.andersson@vgregion.se |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Barium Sulfate / diagnostic use* Chest Pain / etiology Contrast Media / administration & dosage Esophageal Achalasia / diagnosis* Esophagus / anatomy & histology, physiopathology, radiography* Female Humans Male Manometry / methods Middle Aged Muscle Relaxation Pain Measurement / methods Pressure Prospective Studies Questionnaires Reproducibility of Results Self Disclosure Sweden Time Factors |
| Chemical | |
Reg. No./Substance:
|
0/Contrast Media; 7727-43-7/Barium Sulfate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Combined chemotherapy and external beam radiation for stage IE and IIE natural killer T-cell lymphom...
Next Document: Lipoleiomyoma of the peritoneum.