Physiologic assessment and surgical management of diffuse esophageal spasm
| Autor: | Robert R. Klingman, Hubert J. Stein, Ernst P. Eypasch, Tom R. DeMeester |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Pulmonary and Respiratory Medicine
Myotomy medicine.medical_specialty medicine.diagnostic_test business.industry Esophageal disease medicine.medical_treatment Heartburn Chest pain medicine.disease Dysphagia Surgery Esophagectomy otorhinolaryngologic diseases medicine Esophageal spasm medicine.symptom Cardiology and Cardiovascular Medicine business Esophageal pH monitoring |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 104:859-869 |
| ISSN: | 0022-5223 |
| DOI: | 10.1016/s0022-5223(19)34663-x |
| Popis: | The physiologic abnormalities and management of patients with diffuse esophageal spasm are controversial. We evaluated the symptomatic and functional results of surgical therapy in 19 patients with diffuse esophageal spasm who were incapacitated with dysphagia and chest pain and unresponsive to conservative management. A long esophageal myotomy with an antireflux procedure was performed in 15 patients, and four patients with multiple previous esophageal procedures had an esophagectomy. Eleven patients had increased esophageal exposure to gastric juice on preoperative 24-hour esophageal pH monitoring. The severity of dysphagia, chest pain, regurgitation, and heartburn was scored on a scale of 0 to 3 before and a mean of 24 months (range 8 months to 13 years) after the operation. After myotomy, each of these symptoms and the overall symptom score improved significantly (p horac C ardiovasc S urg 1992;104:859-69) |
| Databáze: | OpenAIRE |
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