Document Detail

Esophageal rings and strictures. Manometric characteristics in patients with food impaction.
MedLine Citation:
PMID:  10866085     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The purpose was to investigate the manometric characteristics in patients with lower esophageal rings or strictures with special reference to food impaction. MATERIAL AND METHODS: The material comprised 344 patients (158 female and 186 male). Lower esophageal rings or strictures were diagnosed radiologically by the full column technique. Manometry was performed with triple lumen catheters connected to a hydraulic capillary system and external transducers. RESULTS: Forty patients had rings, and 21 patients strictures. The reference group comprised 283 patients. Dysphagia was seen most frequently in patients with rings. Food impaction was seen only in patients with rings or strictures, whereas chest pain and heartburn appeared with the same incidence in all 3 groups. Non-specific motor disorders were seen most frequently in patients with strictures, but as delayed esophageal emptying with no influence on the tendency to food impaction. Only ring diameter, but not stricture diameter, was of any significance with a higher incidence of food impaction in patients with narrow rings. CONCLUSION: Radiology rather than manometry should be the first diagnostic step in patients with benign dysphagia suffering from food impaction.
L Røhl; K Aksglaede; P Funch-Jensen; P Thommesen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta radiologica (Stockholm, Sweden : 1987)     Volume:  41     ISSN:  0284-1851     ISO Abbreviation:  Acta Radiol     Publication Date:  2000 May 
Date Detail:
Created Date:  2000-07-12     Completed Date:  2000-07-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8706123     Medline TA:  Acta Radiol     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  275-9     Citation Subset:  IM    
Department of Radiology R, Aarhus University Hospital, Denmark.
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MeSH Terms
Aged, 80 and over
Barium Sulfate / diagnostic use
Catheterization / instrumentation
Chest Pain / diagnosis
Chi-Square Distribution
Contrast Media
Deglutition Disorders / diagnosis
Esophageal Achalasia / diagnosis,  physiopathology,  radiography
Esophageal Diseases / diagnosis*,  physiopathology,  radiography
Esophageal Motility Disorders / diagnosis,  physiopathology,  radiography
Esophageal Spasm, Diffuse / diagnosis,  physiopathology,  radiography
Esophageal Stenosis / diagnosis*,  physiopathology,  radiography
Esophagus / physiopathology,  radiography
Heartburn / diagnosis
Manometry / instrumentation
Middle Aged
Transducers, Pressure
Video Recording
Reg. No./Substance:
0/Contrast Media; 7727-43-7/Barium Sulfate

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