Diagnóstico diferencial dos distúrbios motores esofagianos pelas características da disfagia

Domingues, Gerson R; Lemme, Eponina

doi:10.1590/s0004-28032001000100004

Cited by 6 publications

(6 citation statements)

References 10 publications

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“…Table 1 shows that several patients from both groups have symptoms of reflux, globus, hoarseness, sore throat and recurrent pneumonia. This is the characteristic of oropharyngeal dysphagia, or of transference, where the difficulty lies in the passage of the bolus from the mouth to the pharynx and its penetration through the upper esophageal sphincter 30 . Another controversy regarding PED concerns treatment.…”

Section: Results Results Results Resultsmentioning

confidence: 99%

Divertículo faringoesofagiano: avaliação dos resultados do tratamento

Henry

Lerco

Tagliarini

et al. 2013

Rev. Col. Bras. Cir.

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ABSTRACT ABSTRACT ABSTRACTObjective Objective Objective Objective Objective: To evaluate the postoperative outcome of patients with pharyngoesophageal diverticulum submitted to surgical and endoscopic treatments. Methods Methods Methods Methods Methods: We retrospectively analyzed 36 patients with pharyngo-esophageal diverticulum treated at the Hospital of the Medical School of Botucatu -UNESP. Patients were divided into two groups, depending on the treatment: group 1 (n = 24): diverticulectomy associated myotomy through a left cervicotomy; group 2 (n = 12): endoscopic diverticulostomy with linear stapler. Results Results ResultsResults Results: Operative mortality was zero in both groups. Early complications: group 1-two patients developed cervical fistula and two, hoarseness; group 2 -none. Late complications: group 1 -none; group 2: recurrence of dysphagia in four patients (p = .01). Mean follow-up was 33 months for group 1 and 28 months for group 2. Conclusion Conclusion Conclusion Conclusion Conclusion: Both procedures were effective in remission of dysphagia. Surgical treatment showed superiority to endoscopy, with resolution of dysphagia with a single procedure. Endoscopic treatment should be reserved for the elderly and those with comorbidities.

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Section: Results Results Results Resultsmentioning

confidence: 99%

Divertículo faringoesofagiano: avaliação dos resultados do tratamento

Henry

Lerco

Tagliarini

et al. 2013

Rev. Col. Bras. Cir.

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“…Os distúrbios motores primários do esôfago, dos quais fazem parte as anormalidades acima referidas, manifestam-se também por disfagia funcional (14) e dor torácica não-cardíaca (1,31,39) , sendo que a motilidade esofagiana ineficaz é um dos principais achados nesses grupos de pacientes.…”

Section: Alterações Da Motilidade Esofagiana Em Pacientes Cirróticos Com Varizes De Esôfago Não Submetidos a Tratamento Endoscópicounclassified

“…A MEI é encontrada também em pacientes com outras queixas esofagianas, como disfagia (14) e dor torácica (31,39) . Em uma grande série de pacientes com DMI, 95% dos quais apresentando MEI, a pirose foi a queixa principal, seguida por dor torácica e disfagia (44) .…”

Section: Comparação Entre As Variáveis Categóricasunclassified

Alterações da motilidade esofagiana em pacientes cirróticos com varizes de esôfago não submetidos a tratamento endoscópico

Flores

Lemme

Coelho

2005

Arq. Gastroenterol.

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“…Dysphagia is common symptom with different forms of presentation, but always with difficulty in swallowing for solids, pastes and/or liquids. Depending on the severity and frequency, may lead patients to weight loss and malnutrition 4 , 7 , 13 .…”

Section: Introductionmentioning

confidence: 99%

Clinical, endoscopic and manometric features of the primary motor disorders of the esophagus

Martínez

Lima

Silva

et al. 2015

ABCD, arq. bras. cir. dig.

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BackgroundSignificant incidence, diagnostic difficulties, clinical relevance and therapeutic efficacy associated with the small number of publications on the primary esophageal motor disorders, motivated the present study.AimTo determine the manometric prevalence of these disorders and correlate them to the endoscopic and clinical findings.MethodsA retrospective study of 2614 patients, being 1529 (58.49%) women and 1085 (41.51%) men. From 299 manometric examinations diagnosed with primary esophageal motor disorder, were sought-clinical data (heartburn, regurgitation, dysphagia, odynophagia, non-cardiac chest pain, pharyngeal globe and extra-esophageal symptoms) and/or endoscopic (hiatal hernia, erosive esophagitis, food waste) that motivated the performance of manometry.ResultsWere found 49 cases of achalasia, 73 diffuse spasm, 89 nutcracker esophagus, 82 ineffective esophageal motility, and six lower esophageal sphincter hypertension. In relation to the correlations, it was observed that in 119 patients clinical conditions were associated with dysphagia, found in achalasia more than in other conditions; in relationship between endoscopic findings and clinical conditions there was no statistical significance between data.ConclusionsThe clinical and endoscopic findings have little value in the characterization of the primary motor disorders of the esophagus, showing even more the need for manometry, particularly in the preoperative period of gastroesophageal reflux disease.

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Diagnóstico diferencial dos distúrbios motores esofagianos pelas características da disfagia

Cited by 6 publications

References 10 publications

Divertículo faringoesofagiano: avaliação dos resultados do tratamento

Divertículo faringoesofagiano: avaliação dos resultados do tratamento

Alterações da motilidade esofagiana em pacientes cirróticos com varizes de esôfago não submetidos a tratamento endoscópico

Clinical, endoscopic and manometric features of the primary motor disorders of the esophagus

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