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KMID : 0812020080140010045
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Korean Journal of Neurogastroenterology and Motility
2008 Volume.14 No. 1 p.45 ~ p.50
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Two Cases of Achalasia Which were Diagnosed as Normal or Ineffective Esophageal Motility by Esophageal Manometry
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Nam Kwan-Woo
Choi Myung-Gyu
Chung In-Sik
Kim Sang-Woo
Lee In-Seok
Paik Chang-Nyol
Park Jae-Myung
Cho Yu-Kyung
Chang Jae-Hyuck
Oh Soon-Nam
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Abstract
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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. (Kor J Neurogastroenterol Motil 2008;14:45-50)
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KEYWORD
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Esophagealimpedancemanometry, Bariumesophagogram, Achalasia
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