| Rhythmic spontaneous contractions in patients with esophageal symptoms. | |
| | |
MedLine Citation:
|
PMID: 3740027 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Eight patients were identified over a 4-yr period with rhythmic spontaneous contractions of the esophagus. The contraction waves were found to originate immediately below the region of the upper esophageal sphincter in all patients, and propagated a short distance into the proximal esophagus. Mean interval between waves varied from 3.8 to 7.2 s, and all described patients had sequences of at least 5 repetitive waves. Contraction sequences were often initiated and terminated by swallows, but at other times occurred and ceased independent of swallows. Long periods of esophageal baseline pressure elevation were observed in the distal esophageal body, an indicator of poor esophageal clearance presumably related to the rhythmic contraction sequences. Half of the patients had endoscopic or radiographic evidence of reflux-related esophageal injury, yet dysphagia was the most commonly reported symptom. Concomitant manometric abnormalities of the esophageal body may have contributed to symptom production in several of the patients. This rare finding occurring singularly or in combination with other disorders may represent a symptomatic motility derangement that can be detected by systematic sampling of the entire esophagus during manometric examination. |
| | |
Authors:
|
R E Clouse; D M Ferney |
Related Documents
:
|
8668807 - Esophageal leiomyomatosis. 11956837 - Influence of esophageal motility on esophageal speech of laryngectomized patients. 1551517 - Clinical and videofluoroscopic evaluation of swallowing in 41 patients with neurologic ... 18190647 - Screening for esophagitis and barrett's esophagus with wireless esophageal capsule endo... 3626427 - Iodine vs thyroxine. a changing concept of therapy in endemic goiter? 22673367 - Prognostic significance of long-period heart rate rhythms in chronic heart failure. |
Publication Detail:
|
Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: The American journal of gastroenterology Volume: 81 ISSN: 0002-9270 ISO Abbreviation: Am. J. Gastroenterol. Publication Date: 1986 Aug |
Date Detail:
|
Created Date: 1986-09-17 Completed Date: 1986-09-17 Revised Date: 2007-11-14 |
Medline Journal Info:
|
Nlm Unique ID: 0421030 Medline TA: Am J Gastroenterol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 666-71 Citation Subset: IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Deglutition Deglutition Disorders / etiology, physiopathology Esophageal Diseases / physiopathology* Esophagogastric Junction / physiopathology Esophagus / physiopathology* Female Humans Male Manometry Middle Aged Pain / etiology Peristalsis Thorax Ulcer / physiopathology |
| Grant Support | |
ID/Acronym/Agency:
|
AM07130/AM/NIADDK NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Carbohydrate malabsorption in black and Hispanic dialysis patients.
Next Document: Rapid collection of human intrinsic factor uncontaminated with cobalophilin (R binder).