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Journals / Erciyes Medical Journal / 2022 / Cilt: 44 - Sayı: 3

Demographic and Clinical Characteristics of Patients with Nutcracker Esophagus

Ömer ÖZTÜRK
Mustafa KAPLAN
İlyas TENLİK
Volkan GÖKBULUT
Ferhat BACAKSIZ
Derya ARI
Yasemin ÖZİN
Pages
270–273
Publication Date
2022-10-11
DOI
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AI Summary & Key Takeaways

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

The presence of reflux should be investigated and symptomatic treatment should be applied.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: This retrospective study was designed to investigate the demographic and clinical characteristics of 77 patients diagnosed with nutcracker esophagus (NE).
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Key Findings & Data:Materials and Methods: The medical records of patients with NE who were followed up at a single center between 2000 and 2020 were collected and analyzed.
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Conclusion & Impact:The presence of reflux should be investigated and symptomatic treatment should be applied.
🔬Design:Research Article
📍Scope:2000 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: This retrospective study was designed to investigate the demographic and clinical characteristics of 77 patients diagnosed with nutcracker esophagus (NE). Materials and Methods: The medical records of patients with NE who were followed up at a single center between 2000 and 2020 were collected and analyzed. Results: The average age of the patients was 52.5±15.7 years; 43 (55.8%) were male and 34 (44.2%) were female. Dysphagia was the primary symptom in 49 patients (63.6%) and noncardiac chest pain (NCCP) symptoms were prominent in 28 patients (36.4%). Esophageal manometry results according to the presenting symptom indicated that the median amplitude was 210 mmHg (min–max: 190–270 mmHg) in those with prominent NCCP and 215 mmHg (min–max: 190–310 mmHg) in those with prominent dysphagia, with no statistically significant difference between the groups (p=0.19). The mean lower esophageal sphincter pressure (LESP) of the patients was 25 mmHg (min–max: 10–80 mmHg). While the pressure was normal in 55 patients (71%), was elevated in 22 patients (29%). Comparison of the LESP results revealed that the distal esophageal amplitude (DEA) median was 220 mmHg (min–max: 190–310 mmHg) in patients with normal LESP and 210 mmHg (min– max: 190–250 mmHg) in those with a high LESP. Normal or high LESP was not associated with high DEA (p=0.57). Conclusion: Patients with NE may present with a variety of symptoms. The presence of reflux should be investigated and symptomatic treatment should be applied.

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Cite This Article

ÖZTÜRK, Ö., KAPLAN, M., TENLİK, İ., GÖKBULUT, V., BACAKSIZ, F., ARI, D., ÖZİN, Y. (2022). Demographic and Clinical Characteristics of Patients with Nutcracker Esophagus. Erciyes Medical Journal, Cilt: 44 - Sayı: 3, 270–273. https://ajindex.com/articles/502117

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