Document Detail

Manometric evaluation of the esophagus in patients with Behçet's disease.
MedLine Citation:
PMID:  18174679     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Gastrointestinal (GI) involvement in Behçet's disease (BD) mainly appears in mucosa and affects 5-40% of patients, however the effects of the disease on lower esophageal sphincter (LES) pressure and esophageal contractions are not well known. The aims of this study were to evaluate esophageal motor function and to identify whether there was any specific motility pattern for patients with BD who had upper GI symptoms without endoscopic abnormality. MATERIALS AND METHODS: 25 patients with BD, with a mean age of 43.1 (range 20-66) years, were admitted to our clinic whose main complaints were dyspeptic such as reflux, epigastric pain, vomiting and bloating. 25 healthy and age-matched individuals were also included in the study as controls. After one night fasting, LES pressure and esophageal contractions were measured. RESULTS: Esophageal motor abnormalities were detected in 16% (4/25) of these patients with manometric studies (non-specific esophageal motor disorder in 1, esophageal hypomotility in 2, and LES hypotension in 1 patient); 16% (4/25) of these patients had endoscopic findings and overall 32% (8/25) of the cases showed esophageal pathology. All cases with esophageal motor abnormalities were suffering from reflux and endoscopy showed grade B esophagitis in 2 of these cases. Median LES pressure and LES relaxation were significantly lower in patients with BD compared to the control group (16.8 +/- 10.5 vs. 20.4 +/- 6.1, p = 0.02, and 92.1 +/- 10.1 vs. 96.4 +/- 4.5, p = 0.03 respectively). CONCLUSION: Esophageal involvement in BD is significantly high. We propose manometric studies are necessary to evaluate esophageal manifestations in BD patients with esophageal symptoms even without endoscopic findings.
Mehmet Bektas; Mehmet Altan; Murat Alkan; Necati Ormeci; Irfan Soykan
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Publication Detail:
Type:  Journal Article     Date:  2007-12-21
Journal Detail:
Title:  Digestion     Volume:  76     ISSN:  1421-9867     ISO Abbreviation:  Digestion     Publication Date:  2007  
Date Detail:
Created Date:  2008-02-21     Completed Date:  2008-05-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0150472     Medline TA:  Digestion     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  192-5     Citation Subset:  IM    
Department of Gastroenterology, Ibni Sina Hospital, Ankara University Medical School, Ankara, Turkey.
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MeSH Terms
Behcet Syndrome / diagnosis,  physiopathology*
Esophageal Motility Disorders / diagnosis
Esophageal Sphincter, Lower / physiopathology
Esophagus / physiopathology*
Middle Aged

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