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Published: 2021-06-09
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DOI: https://doi.org/10.52852/tcncyh.v140i4.136
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Vol. 140 No. 4 (2021)
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Hằng, Đào V. ., & Huế, L. T. M. . (2021). Clinical symptoms, endoscopic findings and high resolution manometryc results in patients with distal esophageal spasm. Journal of Medical Research, 140(4), 85-92. https://doi.org/10.52852/tcncyh.v140i4.136

Clinical symptoms, endoscopic findings and high resolution manometryc results in patients with distal esophageal spasm

Đào Việt Hằng, Lưu Thị Minh Huế

Main Article Content

Abstract

A retrospective study was conducted to describe clinical symptoms, endoscopic findings, and high-resolution manometry (HRM) results in patients with distal esophageal spasm (DES). There were 75 of 7519 patients diagnosed of DES on HRM between 3/2018 to 8/2020 at the Institute of Gastroenterology and Hepatology. The study sample included 62.7% women, the mean age was 47.8 years. The prevalence of dysphagia and chest pain were 41.3% and 30.7%, respectively. Other common symptoms included regurgitation (72.0%), belching (56.0%), and heartburn (49.3%). 46.8% of patients had erosive esophagitis on endoscopy. On HRM, the median percentage of premature swallows was 30%. Patients with dysphagia with or without chest pain had significantly higher 4-second integrated relaxation pressure (IRP4s) than those without these symptoms. There was no correlation between dysphagia or chest pain and the percentage of premature contraction.

Article Details

Keywords

distal esophageal spasm, esophageal manometry

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