Changes in pressure waves after endoscopic intervention in patients with achalasia: A focus on peristaltic recovery of the esophageal body

LEE, Tae Hee; HONG, Su Jin; HAN, Jae Pil; MYUNG, Yu Sik; KIM, Hyun Soo; LEE, Joon Seong; LEE, Moon Sung; PARK, Se Kyung; KİM, Shin Hee; JUNG, Hee Jae; GOONG, Hyeon Jeong

Changes in pressure waves after endoscopic intervention in patients with achalasia: A focus on peristaltic recovery of the esophageal body

Se Kyung PARK, (Department of Internal Medicine, Digestive Disease Center and Research Institute, Soonchunhyang University College of Medicine, Bucheon, Kore)

Su Jin HONG, (Department of Internal Medicine, Digestive Disease Center and Research Institute, Soonchunhyang University College of Medicine, Bucheon, Kore)

Jae Pil HAN, (Department of Internal Medicine, Digestive Disease Center and Research Institute, Soonchunhyang University College of Medicine, Bucheon, Kore)

Hyeon Jeong GOONG, (Department of Internal Medicine, Digestive Disease Center and Research Institute, Soonchunhyang University College of Medicine, Bucheon, Kore)

Hyun Soo KIM, (Department of Internal Medicine, Digestive Disease Center and Research Institute, Soonchunhyang University College of Medicine, Bucheon, Kore)

Yu Sik MYUNG, (Department of Internal Medicine, Digestive Disease Center and Research Institute, Soonchunhyang University College of Medicine, Bucheon, Kore)

Shin Hee KİM, (Department of Internal Medicine, Digestive Disease Center and Research Institute, Soonchunhyang University College of Medicine, Bucheon, Kore)

Hee Jae JUNG, (Department of Internal Medicine, Digestive Disease Center and Research Institute, Soonchunhyang University College of Medicine, Bucheon, Kore)

Tae Hee LEE, (Department of Internal Medicine, Digestive Disease Center and Research Institute, Soonchunhyang University College of Medicine, Bucheon, Kore)

Joon Seong LEE, (Department of Internal Medicine, Digestive Disease Center and Research Institute, Soonchunhyang University College of Medicine, Bucheon, Kore)

Moon Sung LEE, (Department of Internal Medicine, Digestive Disease Center and Research Institute, Soonchunhyang University College of Medicine, Bucheon, Kore)

Diğer Yazarlar

Turkish Journal of Gastroenterology

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Yıl: 2016 Cilt: 27 Sayı: 1 Sayfa Aralığı: 4 - 9 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Changes in pressure waves after endoscopic intervention in patients with achalasia: A focus on peristaltic recovery of the esophageal body

Öz:

Background/Aims: We conducted the present study to investigate the recovery of peristalsis of the esophageal body and evaluate the pressure changes observed on manometry before and after endoscopic intervention.Materials and Methods: Forty-five patients were diagnosed with achalasia, and 36 received endoscopic or surgical treatment. We collected the data of 24 patients who underwent manometry before and after treatment (pneumatic balloon dilatation, n=7; botulinum toxin injection, n=10; peroral endoscopic myotomy, n=7).Results: The lower esophageal sphincter (LES) resting pressure and nadir LES relaxation pressure decreased regardless of the achalasia subtype or type of endoscopic intervention following treatment (p<0.05). Among patients with a nadir LES relaxation pressure of <4 mmHg, 42.9% (6/14) exhibited partial esophageal peristaltic wave recovery. However, no patients with a nadir LES relaxation pressure of >4 mmHg exhibited peristaltic wave recovery (p=0.024). Of the six patients with peristaltic wave recovery, two had type I achalasia (15.4%), three had type II (33.3%), and one had type III (100.0%). The Eckardt score, symptom duration, and type of intervention were not associated with the recovery of peristaltic waves.Conclusion: Our results suggest that normalization of the nadir LES relaxation pressure can be a predictive factor for the recovery of esophageal peristalsis.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	PARK S, HONG S, HAN J, GOONG H, KIM H, MYUNG Y, KİM S, JUNG H, LEE T, LEE J, LEE M (2016). Changes in pressure waves after endoscopic intervention in patients with achalasia: A focus on peristaltic recovery of the esophageal body. , 4 - 9.
Chicago	PARK Se Kyung,HONG Su Jin,HAN Jae Pil,GOONG Hyeon Jeong,KIM Hyun Soo,MYUNG Yu Sik,KİM Shin Hee,JUNG Hee Jae,LEE Tae Hee,LEE Joon Seong,LEE Moon Sung Changes in pressure waves after endoscopic intervention in patients with achalasia: A focus on peristaltic recovery of the esophageal body. (2016): 4 - 9.
MLA	PARK Se Kyung,HONG Su Jin,HAN Jae Pil,GOONG Hyeon Jeong,KIM Hyun Soo,MYUNG Yu Sik,KİM Shin Hee,JUNG Hee Jae,LEE Tae Hee,LEE Joon Seong,LEE Moon Sung Changes in pressure waves after endoscopic intervention in patients with achalasia: A focus on peristaltic recovery of the esophageal body. , 2016, ss.4 - 9.
AMA	PARK S,HONG S,HAN J,GOONG H,KIM H,MYUNG Y,KİM S,JUNG H,LEE T,LEE J,LEE M Changes in pressure waves after endoscopic intervention in patients with achalasia: A focus on peristaltic recovery of the esophageal body. . 2016; 4 - 9.
Vancouver	PARK S,HONG S,HAN J,GOONG H,KIM H,MYUNG Y,KİM S,JUNG H,LEE T,LEE J,LEE M Changes in pressure waves after endoscopic intervention in patients with achalasia: A focus on peristaltic recovery of the esophageal body. . 2016; 4 - 9.
IEEE	PARK S,HONG S,HAN J,GOONG H,KIM H,MYUNG Y,KİM S,JUNG H,LEE T,LEE J,LEE M "Changes in pressure waves after endoscopic intervention in patients with achalasia: A focus on peristaltic recovery of the esophageal body." , ss.4 - 9, 2016.
ISNAD	PARK, Se Kyung vd. "Changes in pressure waves after endoscopic intervention in patients with achalasia: A focus on peristaltic recovery of the esophageal body". (2016), 4-9.

APA	PARK S, HONG S, HAN J, GOONG H, KIM H, MYUNG Y, KİM S, JUNG H, LEE T, LEE J, LEE M (2016). Changes in pressure waves after endoscopic intervention in patients with achalasia: A focus on peristaltic recovery of the esophageal body. Turkish Journal of Gastroenterology, 27(1), 4 - 9.
Chicago	PARK Se Kyung,HONG Su Jin,HAN Jae Pil,GOONG Hyeon Jeong,KIM Hyun Soo,MYUNG Yu Sik,KİM Shin Hee,JUNG Hee Jae,LEE Tae Hee,LEE Joon Seong,LEE Moon Sung Changes in pressure waves after endoscopic intervention in patients with achalasia: A focus on peristaltic recovery of the esophageal body. Turkish Journal of Gastroenterology 27, no.1 (2016): 4 - 9.
MLA	PARK Se Kyung,HONG Su Jin,HAN Jae Pil,GOONG Hyeon Jeong,KIM Hyun Soo,MYUNG Yu Sik,KİM Shin Hee,JUNG Hee Jae,LEE Tae Hee,LEE Joon Seong,LEE Moon Sung Changes in pressure waves after endoscopic intervention in patients with achalasia: A focus on peristaltic recovery of the esophageal body. Turkish Journal of Gastroenterology, vol.27, no.1, 2016, ss.4 - 9.
AMA	PARK S,HONG S,HAN J,GOONG H,KIM H,MYUNG Y,KİM S,JUNG H,LEE T,LEE J,LEE M Changes in pressure waves after endoscopic intervention in patients with achalasia: A focus on peristaltic recovery of the esophageal body. Turkish Journal of Gastroenterology. 2016; 27(1): 4 - 9.
Vancouver	PARK S,HONG S,HAN J,GOONG H,KIM H,MYUNG Y,KİM S,JUNG H,LEE T,LEE J,LEE M Changes in pressure waves after endoscopic intervention in patients with achalasia: A focus on peristaltic recovery of the esophageal body. Turkish Journal of Gastroenterology. 2016; 27(1): 4 - 9.
IEEE	PARK S,HONG S,HAN J,GOONG H,KIM H,MYUNG Y,KİM S,JUNG H,LEE T,LEE J,LEE M "Changes in pressure waves after endoscopic intervention in patients with achalasia: A focus on peristaltic recovery of the esophageal body." Turkish Journal of Gastroenterology, 27, ss.4 - 9, 2016.
ISNAD	PARK, Se Kyung vd. "Changes in pressure waves after endoscopic intervention in patients with achalasia: A focus on peristaltic recovery of the esophageal body". Turkish Journal of Gastroenterology 27/1 (2016), 4-9.