Which is the Better Method for Location of the Gastro‐Esophageal Junction: Radiography or Manometry?
Purpose: To evaluate whether location of the gastro‐esophageal junction (GEJ) could be determined with the same accuracy on radiography as by manometry with special reference to pH probe positioning. Material and Methods: Ninety patients with suspected esophageal motility disorders underwent simulta...
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| Veröffentlicht in: | Acta radiologica (1987) 2003-03, Vol.44 (2), p.121-126 |
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| container_title | Acta radiologica (1987) |
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| creator | AksglÆde, K. Funch‐Jensen, P. Thommesen, P. |
| description | Purpose: To evaluate whether location of the gastro‐esophageal junction (GEJ) could be determined with the same accuracy on radiography as by manometry with special reference to pH probe positioning.
Material and Methods: Ninety patients with suspected esophageal motility disorders underwent simultaneous manometry and video‐radiography. The lower esophageal sphincter pressure (LESP) and location was determined, and pressure recordings were made in the body of the esophagus. The GEJ and any structural changes were diagnosed on radiography during single‐barium swallows and continuous barium drinking. Simultaneous radiographic and manometric investigations were performed with the pressure‐catheter placed 5 cm proximal to the superior border of the GEJ located by manometry, and the distance to the radiographically determined superior border could be measured directly on the videotapes using a radiopaque metric ruler placed under the patient.
Results: On radiography, the GEJ proved to be situated |
| doi_str_mv | 10.1034/j.1600-0455.2003.00031.x |
| format | Article |
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Material and Methods: Ninety patients with suspected esophageal motility disorders underwent simultaneous manometry and video‐radiography. The lower esophageal sphincter pressure (LESP) and location was determined, and pressure recordings were made in the body of the esophagus. The GEJ and any structural changes were diagnosed on radiography during single‐barium swallows and continuous barium drinking. Simultaneous radiographic and manometric investigations were performed with the pressure‐catheter placed 5 cm proximal to the superior border of the GEJ located by manometry, and the distance to the radiographically determined superior border could be measured directly on the videotapes using a radiopaque metric ruler placed under the patient.
Results: On radiography, the GEJ proved to be situated < 2 cm distally as compared to its location determined by manometry in 95.6% of the patients, and the maximal difference was 2.5 cm. The LESP or structural changes had no significant influence on the results.
Conclusion: The variation of location of GEJ on radiography as compared with manometric findings was sufficiently small to accept both methods as valid in the positioning of the pH probe properly.</description><identifier>ISSN: 0284-1851</identifier><identifier>EISSN: 1600-0455</identifier><identifier>DOI: 10.1034/j.1600-0455.2003.00031.x</identifier><identifier>PMID: 12694092</identifier><identifier>CODEN: ACRAE3</identifier><language>eng</language><publisher>Oxford, UK: Munksgaard International Publishers</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Digestive system ; Esophagogastric Junction - diagnostic imaging ; Esophagogastric Junction - physiology ; Female ; Gastro‐esophageal junction ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Manometry ; Medical sciences ; Middle Aged ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Radiography ; video‐radiography</subject><ispartof>Acta radiologica (1987), 2003-03, Vol.44 (2), p.121-126</ispartof><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3941-866c378bd05d196ec833c66434f82bc1ec8575349730982bf5a8ccd4f82d70d53</citedby><cites>FETCH-LOGICAL-c3941-866c378bd05d196ec833c66434f82bc1ec8575349730982bf5a8ccd4f82d70d53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1034%2Fj.1600-0455.2003.00031.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1034%2Fj.1600-0455.2003.00031.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14659510$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12694092$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>AksglÆde, K.</creatorcontrib><creatorcontrib>Funch‐Jensen, P.</creatorcontrib><creatorcontrib>Thommesen, P.</creatorcontrib><title>Which is the Better Method for Location of the Gastro‐Esophageal Junction: Radiography or Manometry?</title><title>Acta radiologica (1987)</title><addtitle>Acta Radiol</addtitle><description>Purpose: To evaluate whether location of the gastro‐esophageal junction (GEJ) could be determined with the same accuracy on radiography as by manometry with special reference to pH probe positioning.
Material and Methods: Ninety patients with suspected esophageal motility disorders underwent simultaneous manometry and video‐radiography. The lower esophageal sphincter pressure (LESP) and location was determined, and pressure recordings were made in the body of the esophagus. The GEJ and any structural changes were diagnosed on radiography during single‐barium swallows and continuous barium drinking. Simultaneous radiographic and manometric investigations were performed with the pressure‐catheter placed 5 cm proximal to the superior border of the GEJ located by manometry, and the distance to the radiographically determined superior border could be measured directly on the videotapes using a radiopaque metric ruler placed under the patient.
Results: On radiography, the GEJ proved to be situated < 2 cm distally as compared to its location determined by manometry in 95.6% of the patients, and the maximal difference was 2.5 cm. The LESP or structural changes had no significant influence on the results.
Conclusion: The variation of location of GEJ on radiography as compared with manometric findings was sufficiently small to accept both methods as valid in the positioning of the pH probe properly.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Digestive system</subject><subject>Esophagogastric Junction - diagnostic imaging</subject><subject>Esophagogastric Junction - physiology</subject><subject>Female</subject><subject>Gastro‐esophageal junction</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Manometry</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Radiography</subject><subject>video‐radiography</subject><issn>0284-1851</issn><issn>1600-0455</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkM1O6zAQRi0EglJ4BeQN7BLGsZ3ECAlx-UdFSAjE0nIdh6RK4147FXTHI_CMPAkOrWDLxrZmzjdjHYQwgZgAZYeTmKQAETDO4wSAxhAOEr-tocFPYx0NIMlZRHJOttC29xMAkmScbKItkqSCgUgGqHyual3h2uOuMvif6Trj8J3pKlvg0jo8slp1tW2xLb-JK-U7Zz_fPy68nVXqxagG385b3TNH-EEVtX1xalYtcAjfqdZOTecWJztoo1SNN7ure4ieLi8ez66j0f3VzdnpKNJUMBLlaapplo8L4AURqdE5pTpNGWVlnow1CQWeccpERkGESslVrnXRd4sMCk6H6GA5d-bs_7nxnZzWXpumUa2xcy8zSkQigAYwX4LaWe-dKeXM1VPlFpKA7B3LiexVyl6l7B3Lb8fyLUT3Vjvm46kpfoMrqQHYXwHKa9WUTrW69r8cS7ngYccQHS-517oxiz9_QJ4-nIcH_QIlV5c-</recordid><startdate>200303</startdate><enddate>200303</enddate><creator>AksglÆde, K.</creator><creator>Funch‐Jensen, P.</creator><creator>Thommesen, P.</creator><general>Munksgaard International Publishers</general><general>Taylor & Francis</general><scope>IQODW</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>200303</creationdate><title>Which is the Better Method for Location of the Gastro‐Esophageal Junction: Radiography or Manometry?</title><author>AksglÆde, K. ; Funch‐Jensen, P. ; Thommesen, P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3941-866c378bd05d196ec833c66434f82bc1ec8575349730982bf5a8ccd4f82d70d53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Digestive system</topic><topic>Esophagogastric Junction - diagnostic imaging</topic><topic>Esophagogastric Junction - physiology</topic><topic>Female</topic><topic>Gastro‐esophageal junction</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Manometry</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Radiography</topic><topic>video‐radiography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>AksglÆde, K.</creatorcontrib><creatorcontrib>Funch‐Jensen, P.</creatorcontrib><creatorcontrib>Thommesen, P.</creatorcontrib><collection>Pascal-Francis</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>Acta radiologica (1987)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>AksglÆde, K.</au><au>Funch‐Jensen, P.</au><au>Thommesen, P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Which is the Better Method for Location of the Gastro‐Esophageal Junction: Radiography or Manometry?</atitle><jtitle>Acta radiologica (1987)</jtitle><addtitle>Acta Radiol</addtitle><date>2003-03</date><risdate>2003</risdate><volume>44</volume><issue>2</issue><spage>121</spage><epage>126</epage><pages>121-126</pages><issn>0284-1851</issn><eissn>1600-0455</eissn><coden>ACRAE3</coden><abstract>Purpose: To evaluate whether location of the gastro‐esophageal junction (GEJ) could be determined with the same accuracy on radiography as by manometry with special reference to pH probe positioning.
Material and Methods: Ninety patients with suspected esophageal motility disorders underwent simultaneous manometry and video‐radiography. The lower esophageal sphincter pressure (LESP) and location was determined, and pressure recordings were made in the body of the esophagus. The GEJ and any structural changes were diagnosed on radiography during single‐barium swallows and continuous barium drinking. Simultaneous radiographic and manometric investigations were performed with the pressure‐catheter placed 5 cm proximal to the superior border of the GEJ located by manometry, and the distance to the radiographically determined superior border could be measured directly on the videotapes using a radiopaque metric ruler placed under the patient.
Results: On radiography, the GEJ proved to be situated < 2 cm distally as compared to its location determined by manometry in 95.6% of the patients, and the maximal difference was 2.5 cm. The LESP or structural changes had no significant influence on the results.
Conclusion: The variation of location of GEJ on radiography as compared with manometric findings was sufficiently small to accept both methods as valid in the positioning of the pH probe properly.</abstract><cop>Oxford, UK</cop><pub>Munksgaard International Publishers</pub><pmid>12694092</pmid><doi>10.1034/j.1600-0455.2003.00031.x</doi><tpages>6</tpages></addata></record> |
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| language | eng |
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| source | MEDLINE; Access via Wiley Online Library; Access via Taylor & Francis |
| subjects | Adolescent Adult Aged Aged, 80 and over Biological and medical sciences Digestive system Esophagogastric Junction - diagnostic imaging Esophagogastric Junction - physiology Female Gastro‐esophageal junction Humans Investigative techniques, diagnostic techniques (general aspects) Male Manometry Medical sciences Middle Aged Radiodiagnosis. Nmr imagery. Nmr spectrometry Radiography video‐radiography |
| title | Which is the Better Method for Location of the Gastro‐Esophageal Junction: Radiography or Manometry? |
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