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호두까기 식도와 비효과적 식도 운동 환자에서 Marshmallow 식도조영술의 의의

Other Titles
 Clinical Significance of Marshmallow Esophagography in Patients with Nutcracker Esophagus and Ineffective Esophageal Motility 
Authors
 이상인  ;  이상배  ;  박효진  ;  김영균  ;  최성우  ;  조민호 
Citation
 Korean Journal of Neurogastroenterology and Motility (대한소화관운동학회지), Vol.11(1) : 20-27, 2005 
Journal Title
 Korean Journal of Neurogastroenterology and Motility (대한소화관운동학회지) 
ISSN
 1226-5608 
Issue Date
2005
MeSH
Marshmallow esophagography ; Ineffective esophageal motility ; Nutcracker esophagus ; Marshmallow 식도조영술 ; 비효과적 식도 운동 ; 호두까기 식도
Keywords
Marshmallow esophagography ; Ineffective esophageal motility ; Nutcracker esophagus ; Marshmallow 식도조영술 ; 비효과적 식도 운동 ; 호두까기 식도
Abstract
Background/Aims: Ineffective esophageal motility (IEM) and a nutcracker esophagus can lead to hypocontractile dysmotility and hypercontractile dysmotility, respectively. We evaluated patients for the abnormalities of marshmallow esophagography and we compared the esophageal symptoms with the esophageal manometric findings in the patients. Methods: We included total 96 patients; there were 23 patients with IEM, 36 patients with nucracker esophagus, 37 individuals with esophageal symptoms who remained in the the normal esophageal manometric group, and 9 asymptomatic healthy controls. The distal esophageal body pressure and the lower esophageal sphincter pressure were examined with respect to the grade of marshmallow esophagography. Results: The nine healthy volunteers displayed no abnormal marshmallow transit. However, 43.5% of the patients with IEM and 36% of the patients with nutcracker esophagus displayed abnormal marshmallow transit. There was a statistical difference between the healthy volunteer group and those patients with nutcracker esophagus or IEM (p<0.05). Abnormal marshmallow esophagography occurred more frequently for the non-transmitted contraction and the combined type of IEM (non-transmitted contraction and low-amplitude contraction) (p<0.05). However, there was no difference between the distal esophageal pressure and the grade of the marshmallow esophagography. Furthermore, nutcracker esophagus did not display any significant relationship with the distal esophageal pressure and the lower esophageal sphincter pressure with respect to the grade of the marshmallow esophagography. Conclusions: Although the measurement of the distal esophageal pressure and the lower esophageal sphincter pressure did not provide statistically significance for the marshmallow transit in IEM and the nutcracker esophagus, the non-transmitted contraction and the combined type provided a statistically significant result for IEM.
Files in This Item:
T200501175.pdf Download
DOI
OAK-2005-05652
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Young Gyun(김영균)
Park, Hyo Jin(박효진) ORCID logo https://orcid.org/0000-0003-4814-8330
Lee, Sang Bae(이상배B)
Lee, Sang In(이상인)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/151347
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