RESUMO
Thirty-two cases of achalasia of the esophagus are studied in retrospect. The evolution was carried on from different standpoints: clinical, radiological, endoscopic, and motility studies. Patients were treated by dilatation (either pneumatic or mercury bougies) or surgery. The result of treatment was evaluated from the clinical standpoint correlating it with the remaining studies in order to establish wether or not they were related.
Assuntos
Acalasia Esofágica/terapia , Dilatação , Acalasia Esofágica/complicações , Acalasia Esofágica/diagnóstico , Acalasia Esofágica/diagnóstico por imagem , Acalasia Esofágica/cirurgia , Estenose Esofágica/complicações , Esofagoscopia , Esôfago/fisiopatologia , Feminino , Motilidade Gastrointestinal , Hérnia Diafragmática/complicações , Humanos , Masculino , Manometria , RadiografiaRESUMO
In the present study 39 patients with benign esphageal stenosis were studied (average age 59,9 years). The most common etiology was refux esofagitis, and the most common associated pathology was esophageal hiatus hernia. Thirty one patients received medical treatment (diet. antireflux drugs and dilatations.) Twenty four were dilated with the slow continuous method, six with metalic bougies. One patient was not dilated. Seven patients were not treated since the stenosis was due to extrinsec compression. One patient was surgically treated from the onset. Seventy percent of the patients had goods results with esophageal dilatation. We propose that patients with benign esophageal stenosis should be treated by the slow continuous dilatation method.
Assuntos
Estenose Esofágica/etiologia , Adolescente , Adulto , Idoso , Antiácidos/uso terapêutico , Dilatação , Estenose Esofágica/tratamento farmacológico , Estenose Esofágica/patologia , Estenose Esofágica/cirurgia , Estenose Esofágica/terapia , Esofagite/complicações , Junção Esofagogástrica/patologia , Esofagoscopia , Esôfago/patologia , Feminino , Refluxo Gastroesofágico/complicações , Hérnia Hiatal/complicações , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
In 10 patients with esophageal hiatus hernia the effect of metoclopramide bromide and metoclopramide chloride compared with placebo, was studied by the double blind method. Both drugs produced an increase of the lower esophageal sphincter pressure and of the peristalsis of the lower third of the esophagus, only being statistically significative the action of metoclopramide chloride on the perstalsis. No significative side-effects were noted.