Year 2004 / Volume 96 / Number 9
Original
Role of stationary esophageal manometry in clinical practice. Manometric results in patients with gastroesophageal reflux,dysphagia or non-cardiac chest pain

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C. Ciriza de los Ríos, L. García Menéndez, A. Díez Hernández, M. Delgado Gómez, A. L. Fernández Eroles A. Vega Fernández, A. I. San Sebastián and M. J. Romero Arauzo

Abstract
The present study was carried out to evaluate the diagnostic usefulness of stationary esophageal manometry in 263 patients divided into three groups: 150 patients with reflux symptoms, 68
with dysphagia, and 45 with non-cardiac chest pain. Patients with endoscopic abnormalities were excluded. Standard manometry was performed following the station pull-through technique. In the
group of patients with reflux symptoms 40.7% had a normal manometry and 57.3% had abnormalities, being the most frequent (43%) hypotensive lower esophageal sphincter. In the dysphagia group, 20.6% of manometries were normal and 79.4%
were abnormal, of which achalasia was the most frequent disorder (53.7%). In the case of non-cardiac chest pain, 42.2% of patients had a normal manometry and 57.8% an abnormal one, of which
hypotensive lower esophageal sphincter was the most frequent abnormality. A significant higher proportion of manometric alterations were found in the dysphagia group compared to reflux
symptoms and non-cardiac chest pain (p < 0.05). No statistical differences were found between the reflux and the non-cardiac chest pain groups.
Manometry yields a higher diagnostic value in patients with dysphagia, and therefore manometry should be performed routinely after the exclusion of any organic esophageal disease. Manometry is
not a first-choice functional diagnostic test in the study of patirnts with gastroesophageal reflux or non-cardiac chest pain.
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C. Ciriza de los Ríos, L. García Menéndez, A. Díez Hernández, M. Delgado Gómez, A. L. Fernández Eroles A. Vega Fernández, A. I. San Sebastián and M. J. Romero Arauzo. Role of stationary esophageal manometry in clinical practice. Manometric results in patients with gastroesophageal reflux,dysphagia or non-cardiac chest pain. 0


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