Prevalence of non-obstructive dysphagia in patients with heartburn and regurgitation
| Autor: | Leda Maria Tavares Alves, Weslania Viviane Nascimento, Andrea Oliveira Batista, Ana Cristina Viana da Silva, Rachel de Aguiar Cassiani, Roberto Oliveira Dantas, Dauana Cássia Alves |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Medicine (General) 030204 cardiovascular system & hematology Gastroenterology 03 medical and health sciences Young Adult 0302 clinical medicine R5-920 Swallowing Heartburn Internal medicine medicine Prevalence otorhinolaryngologic diseases Humans Esophagitis In patient 030212 general & internal medicine ESOFAGITE Aged business.industry digestive oral and skin physiology Reflux General Medicine Dysphagia Middle Aged medicine.disease Deglutition Esophageal stricture Regurgitation (digestion) Gastroesophageal Reflux Female Original Article medicine.symptom business Deglutition Disorders Brazil |
| Zdroj: | Clinics, Vol 75 (2020) Clinics, Volume: 75, Article number: e1556, Published: 24 JAN 2020 Clinics Clinics; v. 75 (2020); e1556 Clinics; Vol. 75 (2020); e1556 Universidade de São Paulo (USP) instacron:USP Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) |
| ISSN: | 1980-5322 1807-5932 |
| Popis: | OBJECTIVE: Heartburn and regurgitation are the most common gastroesophageal reflux symptoms, and dysphagia could be a possible symptom. This investigation aimed to evaluate the prevalence of non-obstructive dysphagia in patients with heartburn and regurgitation. METHODS: A total of 147 patients (age, 20-70 years; women, 72%) complaining of heartburn and regurgitation, without esophageal stricture, previous esophageal surgery, or other diseases, were evaluated. Twenty-seven patients had esophagitis. The Eating Assessment Tool (EAT-10) was employed to screen for dysphagia; EAT-10 is composed of 10 items, and the patients rate each item from 0 to 4 (0, no problems; 4, most severe symptom). Results of the 147 patients were compared with those of 417 healthy volunteers (women, 62%; control group) aged 20-68 years. RESULTS: In the control group, only two (0.5%) had an EAT-10 score ≥5, which was chosen as the threshold to define dysphagia. EAT-10 scores ≥5 were found in 71 (48.3%) patients and in 55% of the patients with esophagitis and 47% of the patients without esophagitis. This finding indicates a relatively higher prevalence of perceived dysphagia in patients with heartburn and regurgitation and in patients with esophagitis. We also found a positive correlation between EAT-10 scores and the severity of gastroesophageal reflux symptoms based on the Velanovich scale. CONCLUSION: In patients with heartburn and regurgitation symptoms, the prevalence of dysphagia was at least 48%, and has a positive correlation with the overall symptoms of gastroesophageal reflux. |
| Databáze: | OpenAIRE |
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