Videofluoroscopic and Manometric Evaluation of Oropharyngeal and Esophageal Motility Disorders.
Videofluoroscopic swallowing study
bolus transport
chest pain
esophageal motility
esophagus
manometry.
Journal
Current medical imaging reviews
Titre abrégé: Curr Med Imaging Rev
Pays: United Arab Emirates
ID NLM: 101272516
Informations de publication
Date de publication:
2020
2020
Historique:
received:
23
12
2018
revised:
11
03
2019
accepted:
09
04
2019
entrez:
29
1
2020
pubmed:
29
1
2020
medline:
18
11
2020
Statut:
ppublish
Résumé
Esophageal motility studies are performed in patients who have dysphagia that is not explained by stenosis. Diagnosis can be challenging and requires expertise in the interpretation of tests and symptoms. Our aim is to investigate the diagnostic value of videofluoroscopic swallowing study (VFSS) in combination with esophageal manometry. This study has a prospective study design. 73 patients with dysphagia underwent videofluoroscopy in a standing position. Each subject swallowed barium boluses and findings were correlated with manometry findings. The study cohort was categorized into five groups according to their disease as achalasia (31.1%), presbyesophagus (4.1%), scleroderma (5.5%), neurogenic dysphagia (6.8%), and other diseases (54.4%), which included gastroesophageal reflux, diffuse esophageal spasm, cricopharyngeal achalasia, and diseases with nonspecific VFSS patterns. When evaluating VFSS, the perfect agreement was observed between two observers in the final diagnosis. (kappa: 0.91, p<0,001). Although it does not replace manometry, VFSS is important as an additional useful imaging method in EMDs.
Sections du résumé
BACKGROUND
BACKGROUND
Esophageal motility studies are performed in patients who have dysphagia that is not explained by stenosis. Diagnosis can be challenging and requires expertise in the interpretation of tests and symptoms.
AIMS
OBJECTIVE
Our aim is to investigate the diagnostic value of videofluoroscopic swallowing study (VFSS) in combination with esophageal manometry.
STUDY DESIGN
METHODS
This study has a prospective study design.
METHODS
METHODS
73 patients with dysphagia underwent videofluoroscopy in a standing position. Each subject swallowed barium boluses and findings were correlated with manometry findings.
RESULTS
RESULTS
The study cohort was categorized into five groups according to their disease as achalasia (31.1%), presbyesophagus (4.1%), scleroderma (5.5%), neurogenic dysphagia (6.8%), and other diseases (54.4%), which included gastroesophageal reflux, diffuse esophageal spasm, cricopharyngeal achalasia, and diseases with nonspecific VFSS patterns. When evaluating VFSS, the perfect agreement was observed between two observers in the final diagnosis. (kappa: 0.91, p<0,001).
CONCLUSION
CONCLUSIONS
Although it does not replace manometry, VFSS is important as an additional useful imaging method in EMDs.
Identifiants
pubmed: 31989895
pii: CMIR-EPUB-98753
doi: 10.2174/157340561501190611154916
doi:
Substances chimiques
Contrast Media
0
Barium Sulfate
25BB7EKE2E
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
65-69Informations de copyright
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