Role of oesophageal manometry in clinical practice
The present study evaluates the role of oesophageal manometry in clinical practice. Over 5 years, 347 consecutive patients were evaluated in our oesophageal laboratory. The reasons for referral were: dysphagia (11.5%), gastro‐oesophageal reflux disease (GORD) (46.7%), non‐cardiac chest pain (28.5%),...
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| Veröffentlicht in: | Diseases of the esophagus 1999-01, Vol.12 (1), p.41-46 |
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| creator | Gambitta, P Indriolo, A Grosso, C Pirone, Z Colombo, P Arcidiacono, R |
| description | The present study evaluates the role of oesophageal manometry in clinical practice. Over 5 years, 347 consecutive patients were evaluated in our oesophageal laboratory. The reasons for referral were: dysphagia (11.5%), gastro‐oesophageal reflux disease (GORD) (46.7%), non‐cardiac chest pain (28.5%), connective tissue disease (6.9%) and other symptomatology (6.3%). Patients were classified into the following five groups according to the referral diagnosis: dysphagia (40 patients), gastro‐oesophageal reflux disease (GORD) (162 patients), non‐cardiac chest pain (99 patients), connective tissue disease (24 patients) and other symptomatology (22 patients).
Abnormalities in oesophageal motility were detected in 90% of patients with dysphagia, in 40.1% of patients with GORD, in 47.5% of subjects with non‐cardiac chest pain, in 45.8% of patients with connective tissue disease and in 18.2% of subjects with other symptomatology.
The high prevalence of abnormalities in the dysphagia group was statistically significant (p |
| doi_str_mv | 10.1046/j.1442-2050.1999.00013.x |
| format | Article |
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Abnormalities in oesophageal motility were detected in 90% of patients with dysphagia, in 40.1% of patients with GORD, in 47.5% of subjects with non‐cardiac chest pain, in 45.8% of patients with connective tissue disease and in 18.2% of subjects with other symptomatology.
The high prevalence of abnormalities in the dysphagia group was statistically significant (p < 0.001), and the range of 95% confidence intervals (0.81–0.99) suggests that the value found may be a reasonably good estimate of percentage of anomalies detectable in the dysphagia patient population. In the dysphagia group, the initial diagnosis was confirmed in 40% of patients and changed in 52.5%; in only 7.5% of cases were the manometry results not relevant for determining an appropriate diagnosis. Manometry substantially contributed to patients receiving the correct treatment in 82.5% of cases (p < 0.001 among all groups).
In the GORD group and in the non‐cardiac chest pain group, the results of manometry were not relevant for confirming or changing a diagnosis in 59.8% and 53.5% of cases respectively; nevertheless, in both groups, on the basis of manometry results, the treatment was changed in 42.5% of patients (p < 0.01 vs. other symptomatology group).
In conclusion, on the basis of the present data, we can emphasize the usefulness of oesophageal manometry assessment in patients with dysphagia or non‐cardiac chest pain, with negative routine examinations, and also in patients with refractory GORD who have been considered for antireflux surgery.</description><identifier>ISSN: 1120-8694</identifier><identifier>EISSN: 1442-2050</identifier><identifier>DOI: 10.1046/j.1442-2050.1999.00013.x</identifier><identifier>PMID: 10941860</identifier><language>eng</language><publisher>Oxford UK: Blackwell Science Pty</publisher><subject>Aged ; Chest Pain - etiology ; Deglutition Disorders - diagnosis ; Female ; Gastroesophageal Reflux - diagnosis ; Humans ; Male ; Manometry ; Middle Aged</subject><ispartof>Diseases of the esophagus, 1999-01, Vol.12 (1), p.41-46</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4533-b7e955f436194ec3ad52546e2b6200f981e8001d4f01b3d3129804e04587be223</citedby><cites>FETCH-LOGICAL-c4533-b7e955f436194ec3ad52546e2b6200f981e8001d4f01b3d3129804e04587be223</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1442-2050.1999.00013.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27922,27923,45573</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10941860$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gambitta, P</creatorcontrib><creatorcontrib>Indriolo, A</creatorcontrib><creatorcontrib>Grosso, C</creatorcontrib><creatorcontrib>Pirone, Z</creatorcontrib><creatorcontrib>Colombo, P</creatorcontrib><creatorcontrib>Arcidiacono, R</creatorcontrib><title>Role of oesophageal manometry in clinical practice</title><title>Diseases of the esophagus</title><addtitle>Dis Esophagus</addtitle><description>The present study evaluates the role of oesophageal manometry in clinical practice. Over 5 years, 347 consecutive patients were evaluated in our oesophageal laboratory. The reasons for referral were: dysphagia (11.5%), gastro‐oesophageal reflux disease (GORD) (46.7%), non‐cardiac chest pain (28.5%), connective tissue disease (6.9%) and other symptomatology (6.3%). Patients were classified into the following five groups according to the referral diagnosis: dysphagia (40 patients), gastro‐oesophageal reflux disease (GORD) (162 patients), non‐cardiac chest pain (99 patients), connective tissue disease (24 patients) and other symptomatology (22 patients).
Abnormalities in oesophageal motility were detected in 90% of patients with dysphagia, in 40.1% of patients with GORD, in 47.5% of subjects with non‐cardiac chest pain, in 45.8% of patients with connective tissue disease and in 18.2% of subjects with other symptomatology.
The high prevalence of abnormalities in the dysphagia group was statistically significant (p < 0.001), and the range of 95% confidence intervals (0.81–0.99) suggests that the value found may be a reasonably good estimate of percentage of anomalies detectable in the dysphagia patient population. In the dysphagia group, the initial diagnosis was confirmed in 40% of patients and changed in 52.5%; in only 7.5% of cases were the manometry results not relevant for determining an appropriate diagnosis. Manometry substantially contributed to patients receiving the correct treatment in 82.5% of cases (p < 0.001 among all groups).
In the GORD group and in the non‐cardiac chest pain group, the results of manometry were not relevant for confirming or changing a diagnosis in 59.8% and 53.5% of cases respectively; nevertheless, in both groups, on the basis of manometry results, the treatment was changed in 42.5% of patients (p < 0.01 vs. other symptomatology group).
In conclusion, on the basis of the present data, we can emphasize the usefulness of oesophageal manometry assessment in patients with dysphagia or non‐cardiac chest pain, with negative routine examinations, and also in patients with refractory GORD who have been considered for antireflux surgery.</description><subject>Aged</subject><subject>Chest Pain - etiology</subject><subject>Deglutition Disorders - diagnosis</subject><subject>Female</subject><subject>Gastroesophageal Reflux - diagnosis</subject><subject>Humans</subject><subject>Male</subject><subject>Manometry</subject><subject>Middle Aged</subject><issn>1120-8694</issn><issn>1442-2050</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMtOwzAQRS0EoqXwCygrdgl-J16wQKUtSIUKVMTScpIJpORR4lS0f49DqoolK4_G98zYByGP4IBgLq9XAeGc-hQL11BKBRhjwoLtERoeLo5dTSj2I6n4AJ1Zu3KZkMnoFA0IVpxEEg8RfakL8OrMq8HW6w_zDqbwSlPVJbTNzssrLynyKk9cd92YpM0TOEcnmSksXOzPEXqdTpbje3--mD2Mb-d-wgVjfhyCEiLjTBLFIWEmFVRwCTSWFONMRQQi96KUZ5jELGWEqghzwFxEYQyUshG66ueum_prA7bVZW4TKApTQb2x2v1LhVgSF4z6YNLU1jaQ6XWTl6bZaYJ150uvdKdFd1p050v_-tJbh17ud2ziEtI_YC_IBW76wHdewO7fg_XdYjlxleP9ns9tC9sDb5pPLUMWCv32NNPyeUrGQkj9yH4AOwyFtw</recordid><startdate>19990101</startdate><enddate>19990101</enddate><creator>Gambitta, P</creator><creator>Indriolo, A</creator><creator>Grosso, C</creator><creator>Pirone, Z</creator><creator>Colombo, P</creator><creator>Arcidiacono, R</creator><general>Blackwell Science Pty</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19990101</creationdate><title>Role of oesophageal manometry in clinical practice</title><author>Gambitta, P ; Indriolo, A ; Grosso, C ; Pirone, Z ; Colombo, P ; Arcidiacono, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4533-b7e955f436194ec3ad52546e2b6200f981e8001d4f01b3d3129804e04587be223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Aged</topic><topic>Chest Pain - etiology</topic><topic>Deglutition Disorders - diagnosis</topic><topic>Female</topic><topic>Gastroesophageal Reflux - diagnosis</topic><topic>Humans</topic><topic>Male</topic><topic>Manometry</topic><topic>Middle Aged</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gambitta, P</creatorcontrib><creatorcontrib>Indriolo, A</creatorcontrib><creatorcontrib>Grosso, C</creatorcontrib><creatorcontrib>Pirone, Z</creatorcontrib><creatorcontrib>Colombo, P</creatorcontrib><creatorcontrib>Arcidiacono, R</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diseases of the esophagus</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gambitta, P</au><au>Indriolo, A</au><au>Grosso, C</au><au>Pirone, Z</au><au>Colombo, P</au><au>Arcidiacono, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of oesophageal manometry in clinical practice</atitle><jtitle>Diseases of the esophagus</jtitle><addtitle>Dis Esophagus</addtitle><date>1999-01-01</date><risdate>1999</risdate><volume>12</volume><issue>1</issue><spage>41</spage><epage>46</epage><pages>41-46</pages><issn>1120-8694</issn><eissn>1442-2050</eissn><abstract>The present study evaluates the role of oesophageal manometry in clinical practice. Over 5 years, 347 consecutive patients were evaluated in our oesophageal laboratory. The reasons for referral were: dysphagia (11.5%), gastro‐oesophageal reflux disease (GORD) (46.7%), non‐cardiac chest pain (28.5%), connective tissue disease (6.9%) and other symptomatology (6.3%). Patients were classified into the following five groups according to the referral diagnosis: dysphagia (40 patients), gastro‐oesophageal reflux disease (GORD) (162 patients), non‐cardiac chest pain (99 patients), connective tissue disease (24 patients) and other symptomatology (22 patients).
Abnormalities in oesophageal motility were detected in 90% of patients with dysphagia, in 40.1% of patients with GORD, in 47.5% of subjects with non‐cardiac chest pain, in 45.8% of patients with connective tissue disease and in 18.2% of subjects with other symptomatology.
The high prevalence of abnormalities in the dysphagia group was statistically significant (p < 0.001), and the range of 95% confidence intervals (0.81–0.99) suggests that the value found may be a reasonably good estimate of percentage of anomalies detectable in the dysphagia patient population. In the dysphagia group, the initial diagnosis was confirmed in 40% of patients and changed in 52.5%; in only 7.5% of cases were the manometry results not relevant for determining an appropriate diagnosis. Manometry substantially contributed to patients receiving the correct treatment in 82.5% of cases (p < 0.001 among all groups).
In the GORD group and in the non‐cardiac chest pain group, the results of manometry were not relevant for confirming or changing a diagnosis in 59.8% and 53.5% of cases respectively; nevertheless, in both groups, on the basis of manometry results, the treatment was changed in 42.5% of patients (p < 0.01 vs. other symptomatology group).
In conclusion, on the basis of the present data, we can emphasize the usefulness of oesophageal manometry assessment in patients with dysphagia or non‐cardiac chest pain, with negative routine examinations, and also in patients with refractory GORD who have been considered for antireflux surgery.</abstract><cop>Oxford UK</cop><pub>Blackwell Science Pty</pub><pmid>10941860</pmid><doi>10.1046/j.1442-2050.1999.00013.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Aged Chest Pain - etiology Deglutition Disorders - diagnosis Female Gastroesophageal Reflux - diagnosis Humans Male Manometry Middle Aged |
| title | Role of oesophageal manometry in clinical practice |
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