Radiologic and manometric study of the gastroesophageal junction in dysphagia aortica.
J Clin Gastroenterol
; 21(4): 275-8, 1995 Dec.
Article
em En
| MEDLINE
| ID: mdl-8583098
ABSTRACT
This article reports radiologic and manometric findings in dysphagia aortica, with particular attention to the gastroesophageal (GE) junction. Records of three patients, ages 70-78 years, with clinical/radiologic dysphagia aortica were compared to those in control groups. Subsequently, manometric findings of such vascular compression were sought in 10 consecutive patients > or = 65 years old with dysphagia. The three patients with dysphagia aortica had radiologic/endoscopic evidence for compression at the GE junction. Manometric studies, performed in two of them, showed evidence at the GE junction for superimposed rhythmic contractions at 60-72/min (maximum amplitudes, 35 mm Hg), consistent with vascular compression. One patient had marked elevation of "sphincter" pressure to 110 mm Hg and "poor relaxation" of the "sphincter." One of 10 patients with dysphagia had rhythmic contractions of 20 mm Hg; a barium study subsequently showed aortic compression at the GE junction. There are characteristic manometric findings that may help to identify symptomatic vascular compression of the esophagus in the elderly.
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Base de dados:
MEDLINE
Assunto principal:
Aorta Torácica
/
Transtornos de Deglutição
/
Aneurisma da Aorta Torácica
/
Junção Esofagogástrica
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
Idioma:
En
Ano de publicação:
1995
Tipo de documento:
Article