Esophageal Manometric Findings of 1,746 Patients with Esophageal Symptoms.
- Author:
Dong Wan KIM
1
;
Yong Suk JUNG
;
Paul CHOI
;
Jee Young LEE
;
Moo In PARK
;
Seun Ja PARK
;
Ja Young KOO
Author Information
1. Department of Internal medicine, Kosin University, College of Medicine, Busan, Korea. jykoo@ns.kosinmed.or.kr
- Publication Type:Original Article
- Keywords:
Esophageal manometry;
Esophageal motility disorder;
Age
- MeSH:
Capillaries;
Chest Pain;
Compliance;
Deglutition Disorders;
Esophageal Achalasia;
Esophageal Motility Disorders;
Esophageal Spasm, Diffuse;
Esophageal Sphincter, Lower;
Heartburn;
Humans;
Manometry;
Multivariate Analysis;
Prevalence;
Sensation;
Thorax
- From:Korean Journal of Gastrointestinal Motility
2003;9(1):18-24
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: To evaluate the prevalence, relationship between symptoms and esophageal motility disorders, and the factors that could affect in esophageal motility, we performed a manometric study and analyzed the results in a large number of patients with esophageal symptoms. METHODS: Records from 1746 patients referred to our manometric laboratory for evaluation of esophageal symptoms between September 1994 and September 2002 were enrolled. We used low compliance pneumohydraulic capillary infusion system to perform esophageal manometry. RESULTS: Among patients with abnormal esophageal motility, 390 cases of nonspecific esophageal motility disorder, 20 cases of nutcracker esophagus, 11 cases of achalasia, 4 cases of hypertensive lower esophageal sphincter, and 4 cases of diffuse esophageal spasm were present. The symptoms of 1746 patients were oropharyngeal dysphagia, esophageal dysphagia, non-cardiac chest pain or chest discomfort, substernal soreness or heartburn, regurgitation, and lump sensation. In multivariate analysis, age (OR=1.95; p=0.007) was an independent factor affecting esophageal motility. CONCLUSIONS: There are esophageal motility disorders in 24.6% of patients with esophageal symptoms, and various symptoms are present in them. The factor associated with the abnormal findings of esophageal manometry is age.
