Caracteristicas clínicas, endoscópicas, manométricas y magnitud de reflujo gastroesofágico ácido patológico en pacientes con esófago en cascanueces: Análisis prospectivo de 80 pacientes

Background: The nutcracker esophagus, a primary motor disorder, is frequently associated with noncardic chest pain. Aim: To study the clinical, endoscopic, manometric, and pathological features and 24 h acid reflux in patients with nutcracker esophagus. Patients and methods: Eighty patients (63 fema...

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Autores principales:	Csendes,Attila, Cárcamo,Carlos, Henríquez,Ana
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2004
Materias:	Esophageal motility disorders Esophagitis Manometry
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000200004
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spelling	oai:scielo:S0034-988720040002000042005-11-23Caracteristicas clínicas, endoscópicas, manométricas y magnitud de reflujo gastroesofágico ácido patológico en pacientes con esófago en cascanueces: Análisis prospectivo de 80 pacientesCsendes,AttilaCárcamo,CarlosHenríquez,Ana Esophageal motility disorders Esophagitis Manometry Background: The nutcracker esophagus, a primary motor disorder, is frequently associated with noncardic chest pain. Aim: To study the clinical, endoscopic, manometric, and pathological features and 24 h acid reflux in patients with nutcracker esophagus. Patients and methods: Eighty patients (63 females, aged 26 to 70 years) with nutcracker esophagus, defined as the presence of contraction waves of more than 180 mmHg in the esophageal manometry, were studied. All were subjected to an upper gastrointestinal endoscopy, 24 h esophageal pH monitoring and a new manometric study. Results: Eighty percent of patients had symptoms suggestive of gastroesophageal reflux, 31% had retrosternal pain and 25% had dysphagia. Upper endoscopy was normal in 41% and showed erosive esophagitis or Barrett esophagus in 27%. Fifty percent of patients had an abnormal acid reflux. There were no significant differences in manometric parameters between patients with and without acid reflux. Conclusions: Symptoms of gastroesophageal reflux not necessarily mean that a pathological reflux is present. Primary motor disorders of the esophagus may cause similar symptoms (Rev Méd Chile 2004; 132: 160-4)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.132 n.2 20042004-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000200004es10.4067/S0034-98872004000200004
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Esophageal motility disorders Esophagitis Manometry
spellingShingle	Esophageal motility disorders Esophagitis Manometry Csendes,Attila Cárcamo,Carlos Henríquez,Ana Caracteristicas clínicas, endoscópicas, manométricas y magnitud de reflujo gastroesofágico ácido patológico en pacientes con esófago en cascanueces: Análisis prospectivo de 80 pacientes
description	Background: The nutcracker esophagus, a primary motor disorder, is frequently associated with noncardic chest pain. Aim: To study the clinical, endoscopic, manometric, and pathological features and 24 h acid reflux in patients with nutcracker esophagus. Patients and methods: Eighty patients (63 females, aged 26 to 70 years) with nutcracker esophagus, defined as the presence of contraction waves of more than 180 mmHg in the esophageal manometry, were studied. All were subjected to an upper gastrointestinal endoscopy, 24 h esophageal pH monitoring and a new manometric study. Results: Eighty percent of patients had symptoms suggestive of gastroesophageal reflux, 31% had retrosternal pain and 25% had dysphagia. Upper endoscopy was normal in 41% and showed erosive esophagitis or Barrett esophagus in 27%. Fifty percent of patients had an abnormal acid reflux. There were no significant differences in manometric parameters between patients with and without acid reflux. Conclusions: Symptoms of gastroesophageal reflux not necessarily mean that a pathological reflux is present. Primary motor disorders of the esophagus may cause similar symptoms (Rev Méd Chile 2004; 132: 160-4)
author	Csendes,Attila Cárcamo,Carlos Henríquez,Ana
author_facet	Csendes,Attila Cárcamo,Carlos Henríquez,Ana
author_sort	Csendes,Attila
title	Caracteristicas clínicas, endoscópicas, manométricas y magnitud de reflujo gastroesofágico ácido patológico en pacientes con esófago en cascanueces: Análisis prospectivo de 80 pacientes
title_short	Caracteristicas clínicas, endoscópicas, manométricas y magnitud de reflujo gastroesofágico ácido patológico en pacientes con esófago en cascanueces: Análisis prospectivo de 80 pacientes
title_full	Caracteristicas clínicas, endoscópicas, manométricas y magnitud de reflujo gastroesofágico ácido patológico en pacientes con esófago en cascanueces: Análisis prospectivo de 80 pacientes
title_fullStr	Caracteristicas clínicas, endoscópicas, manométricas y magnitud de reflujo gastroesofágico ácido patológico en pacientes con esófago en cascanueces: Análisis prospectivo de 80 pacientes
title_full_unstemmed	Caracteristicas clínicas, endoscópicas, manométricas y magnitud de reflujo gastroesofágico ácido patológico en pacientes con esófago en cascanueces: Análisis prospectivo de 80 pacientes
title_sort	caracteristicas clínicas, endoscópicas, manométricas y magnitud de reflujo gastroesofágico ácido patológico en pacientes con esófago en cascanueces: análisis prospectivo de 80 pacientes
publisher	Sociedad Médica de Santiago
publishDate	2004
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000200004
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_version_	1718436134770442240

Caracteristicas clínicas, endoscópicas, manométricas y magnitud de reflujo gastroesofágico ácido patológico en pacientes con esófago en cascanueces: Análisis prospectivo de 80 pacientes

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