Korean J Neurogastroenterol Motil.
2008 Jun;14(1):45-50.
Two Cases of Achalasia Which were Diagnosed as Normal or Ineffective Esophageal Motility by Esophageal Manometry
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. ykcho@catholic.ac.kr
- 2Department of Radiology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract
- Esophageal impedance manometry provides the information about esophageal contraction and bolus transit. Barium esophagogram provides the structural and functional information in patients with dysphagia. Typical features of achalasia are aperistalsis of esophageal body and incomplete relaxation of lower esophageal sphincter. The radiologic diagnosis of achalasia is made easily in most patients because it usually shows typical radiologic findings, such as esophageal dilatation and tapering of distal esophagus. We report the two patients with dysphagia who had a discrepancy between manometric diagnoses and radiologic diagnosis. Their manometric diagnoses were normal and ineffective esophageal motility respectively, whereas their simultaneous esophageal impedance manometry and barium esophagogram revealed typical features of achalasia.
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