Journals / Turkish Journal of Gastroenterology / 2009 / Cilt: 20 - Sayı: 3

Akalazyada manometrik bulguların değişikliği: Bir olgu sunumu

Temporal variation in manometric findings in achalasia: A case report

Pages
204–208
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We report the clinical, radiological and manometric follow-up of a 45-year- old woman who presented with atypical manometric features of achalasia that have not been reported in the literature and who after a short period demonstrated the manometric features of classical achalasia.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Esophageal manometry is a valuable tool in the diagnosis of achalasia.
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Key Findings & Data:The manometric features proposed for diagnosing classic achalasia are incomplete relaxation of the lower esophageal sphincter and aperistalsis in the body of the esophagus.
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Conclusion & Impact:We report the clinical, radiological and manometric follow-up of a 45-year- old woman who presented with atypical manometric features of achalasia that have not been reported in the literature and who after a short period demonstrated the manometric features of classical achalasia.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Yutma bozuklukları · Özofagus · Zaman faktörleri

Abstract

Esophageal manometry is a valuable tool in the diagnosis of achalasia. The manometric features proposed for diagnosing classic achalasia are incomplete relaxation of the lower esophageal sphincter and aperistalsis in the body of the esophagus. Atypical achalasia cases have been reported that do not have the characteristic manometric features of classic achalasia. We report the clinical, radiological and manometric follow-up of a 45-year- old woman who presented with atypical manometric features of achalasia that have not been reported in the literature and who after a short period demonstrated the manometric features of classical achalasia.

Özet

Özofagus manometrisi akalazya tanısı için değerli bir yöntemdir. Alt özofagus sfinkterinin inkomplet gevşemesi ve özofagus gövdesinde peristalsis yokluğu, klasik akalazya tanısı için gerekli manometrik özelliklerdir. Klasik akalazyanın karakteristik manometrik özelliklerini göstermeyen atipik akalazya olguları bildirilmiştir. Burada, literatürde bugüne kadar bildirilmeyen akalazyanın atipik manometrik özellikleriyle başvuran ve kısa bir süre sonra akalazyanın klasik manometrik özelliklerini gösteren 45 yaşında bir bayan hastanın klinik, radyolojik ve manometrik izlemini sunuyoruz.

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Cite This Article

ALKIM, C., DAĞLI, Ü., AKYÜREK, N., ŞAHİN, B., ULUSOY, B. N. (2009). Akalazyada manometrik bulguların değişikliği: Bir olgu sunumu. Turkish Journal of Gastroenterology, Cilt: 20 - Sayı: 3, 204–208. https://ajindex.com/articles/410850

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References (18)

  1. Couturier D, Samama J. Clinical aspects and manometric criteria in achalasia. Hepatogastroenterology 1991; 38: 481-7
  2. Park W, Vaezi M. Etiology and pathogenesis of achalasia: the current understanding. Am J Gastroenterol 2005; 100: 1404-14
  3. Spechler SJ, Castell DO. Classification of oesophageal motility abnormalities. Gut 2001; 49: 145-51
  4. AGA technical review on the clinical use of esophageal manometry. American Gastroenterological Association. Gastroenterology 2005; 128: 209-24
  5. Hirano I, Tatum RP, Shi G, et al. Manometric heterogeneity in patients with idiopathic achalasia. Gastroenterology 2001; 120: 789-98
  6. Kim JH, Rhee PL, Lee SS, et al. Is peristalsis with complete lower esophageal sphincter relaxation an early stage of classic achalasia. J Gastroenterol Hepatol 2007; 22: 536-41
  7. Vantrappen G, Janssens J, Hellemans J, Coremans G. Achalasia, diffuse esophageal spasm, and related motility disorders. Gastroenterology 1979; 76: 450-7
  8. Castell DO. Achalasia and diffuse oesophageal spasm. Arch Intern Med 1976; 136: 571-9
  9. Castell DO. The spectrum of oesophageal motility disorders. Gastroenterology 1979; 76: 639-40
  10. Kramer P, Harris LD, Donaldson RM. Transition from symptomatic diffuse spasm to cardiospasm. Gut 1967; 8: 115-9
  11. Millan MS, Bourdages R, Beck IT, Dacosta LR. Transition from diffuse esophageal spasm to achalasia. J Clin Gastroenterol 1979; 1: 107-17
  12. Shiflett DW, Wu WC, Ott DJ. Transition from nonspecific motility disorder to achalasia. Am J Gastroenterol 1980; 73: 325-8
  13. Robson K, Rosenberg S, Lembo T. GERD progressing to diffuse esophageal spasm and then to achalasia. Dig Dis Sci 2000; 45: 110-3
  14. Khatami SS, Khandwala F, Shay SS, Vaezi MF. Does diffuse esophageal spasm progress to achalasia? A prospective cohort study. Dig Dis Sci 2005; 50: 1605-10
  15. Barham CP, Gotley DC, Fowler A, et al. Diffuse oesophageal spasm: diagnosis by ambulatory 24 hour manometry. Gut 1997; 41: 151-5. 16. van Herwaarden MA, Samson M, Smout AJPM. Prolonged manometric recordings of oesophagus and lower oesophageal sphincter in achalasia patients. Gut 2001; 49: 813-21
  16. Lamet M, Fleshler B, Achkar E. Return of peristalsis in achalasia after pneumatic dilatation. Am J Gastroenterol 1985; 80: 602-4
  17. Ponce J, Miralbes M, Garrigues V, Berenguer J. Return of esophageal peristalsis after Heller's myotomy for idiopathic achalasia. Dig Dis Sci 1986; 31: 545-7
  18. Clouse RE, Diamant NE. Motor physiology and motor disorde