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AKALAZYALI HASTALARDA KLİNİK, RADYOLOJİK VE MANOMETRİK BULGULAR ARASINDAKİ İLİŞKİLER

Journal Name:

  • Cerrahpaşa Tıp Dergisi

Publication Year:

  • 1998

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Achalasia is a well known primary motor disorder of the esophagus in which the lower esophageal sphincter (LES) exerts abnormally high resting pressure and incomplete relaxation with swallowing. Dynamic investigations, mainly esophageal manometry and radiological examination are needed for the diagnosis and follow-up after treatment. We present the clinical manifestations, radiological manometric abnormalities of 26 patients with achalasia seen between 1993 and 1997. Results.- Dysphagia was significantly correlated with bird beak deformity and impaired emptying on esophagogram. No significant relationship was found between the LES pressure and clinical and radiological features. Nonperistaltic wave amplitude and LES relaxation were inversely and significantly correlated with impaired emptying on esophagogram. Conclusion.- Radiological findings of achalasia may not be due to hypertensive LES but decreased lower sphincter relaxation may be responsible for dysphagia and impaired esophageal emptying. Also LES pressure is in normal range in 35% of patients with achalasia. Achalasia and hiatal hernia may coexist in 8% of the patients.
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Abstract (Original Language): 
Bu çalışmada akalazyalı 26 hastadan elde edilen klinik, radyolojik ve manometrik bulguların birbirleri ile olan ilişkileri korelasyon matriks testi kullanılarak incelendi. Disfaji semptomu özofagogramda tesbit edilen kuş gagası görünümü ve gecikmiş boşalma ile anlamlı korelasyon gösterdi. Alt özefagus sfinkter (AÖS) basıncı ile klinik ve radyolojik bulgular arasında anlamlı korelasyon yoktu. Özefagustaki nonperistaltik dalga amplitüdü ve AÖS relaksasyonunun özofagogramdaki kusurlu boşalma ile negatif anlamlı bir ilişki gösterdiği saptandı. Sonuç olarak, primer özofagus akalazyasındaki radyolojik bulgular sadece artmış AÖS basıncına bağlı olmayabilir ancak azalmış AÖS relaksasyonunun disfaji ve özefagogramdaki gecikmiş boşalmadan sorumlu olabileceği söylenebilir. Akalazya ve hiatal herni hastalarının %8 inde birliktelik göstermiştir.
FULL TEXT (PDF): 
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  • 2
65-69
  • Turkish

REFERENCES

References: 

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