| Surface area: a better predictor of disease severity than the height and volume of the barium column in patients with primary achalasia. | |
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MedLine Citation:
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PMID: 17033442 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Subjective assessment of primary achalasia is not accurate. We aimed to study the utility of surface area of barium retention in the objective assessment of these patients. METHODS: Subjective and objective esophageal functions of 99 patients with primary achalasia were evaluated initially and 43 of them were reevaluated 1 month after balloon dilation. RESULTS: Before dilation: Ninety-nine patients were enrolled. Forty-one of them were male. The mean age was 37.5+/-15.3 years. The mean score, resting lower esophageal sphincter pressure, height, surface and volume of barium retention at 5 min were 8.03+/-3.1, 59.1+/-20 mmHg, 9.9+/-4.9 cm, and 23.6+/-13.9 cm and 53.2+/-47.7 cm, respectively. Surface area at 5 min had best correlation and predictive value for resting lower esophageal sphincter pressure. After dilation: Forty-three of 99 patients were reevaluated after balloon dilation. The mean age was 36.8+/-13.6 years. Seventeen of them were male. Mean score, resting lower esophageal sphincter pressure, height, surface area and volume of barium retention at 5 min dropped significantly after dilation. Surface area at 5 min had best correlation and predictive value for lower esophageal sphincter pressure. CONCLUSIONS: Surface area of barium retention at 5 min is an accurate objective tool to assess patients with primary achalasia. It is cheap and easy to perform; therefore, it could be used more frequently in postdilation follow-up. |
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Authors:
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Ghodrat Montazeri; Negin Nouri; Arezoo Estakhri; Shapoor Shirani; Shifteh Abedian; Atoosa Fazlollahi; Javad Mikaeli; Mehdi Nouraie; Reza Malekzadeh |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: European journal of gastroenterology & hepatology Volume: 18 ISSN: 0954-691X ISO Abbreviation: Eur J Gastroenterol Hepatol Publication Date: 2006 Nov |
Date Detail:
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Created Date: 2006-10-11 Completed Date: 2007-01-04 Revised Date: 2009-10-16 |
Medline Journal Info:
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Nlm Unique ID: 9000874 Medline TA: Eur J Gastroenterol Hepatol Country: England |
Other Details:
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Languages: eng Pagination: 1203-8 Citation Subset: IM |
Affiliation:
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Digestive Disease Research Center, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran. montazer@ams.ac.ir |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Balloon Dilatation / methods Barium Sulfate Contrast Media Esophageal Achalasia / pathology, physiopathology, radiography* Esophagus / pathology, physiopathology, radiography* Female Follow-Up Studies Humans Logistic Models Male Manometry Middle Aged Peristalsis |
| Chemical | |
Reg. No./Substance:
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0/Contrast Media; 7727-43-7/Barium Sulfate |
| Comments/Corrections | |
Comment In:
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Nat Clin Pract Gastroenterol Hepatol. 2007 Jun;4(6):308-9
[PMID:
17457308
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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