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KMID : 1140920220460050237
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Annals of Rehabilitation Medicine
2022 Volume.46 No. 5 p.237 ~ p.247
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Esophageal Motility Disorders in Patients With Esophageal Barium Residue After Videofluoroscopic Swallowing Study
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Park Jin-Tae
Baek So-Ra
Kim Go-Wun
Nam Seung-Joo
Kim Ji-Hyun
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Abstract
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Objective: To investigate esophageal motility disorders in patients with esophageal residual barium on chest x-rays after videofluoroscopic swallowing studies (VFSS) through high-resolution esophageal manometry (HREM).
Methods: We reviewed the records of 432 patients who underwent VFSS from September 2019 to May 2021, and 85 patients (19.7%) with large residual barium (diameter ≥1 cm) were included. As a result of HREM, motility disorders were classified as major or minor motility disorders according. Esophagogastroduodenoscopy and chest computed tomography results available were also reviewed.
Results: Among 85 patients with large residual barium in the esophagus, 16 patients (18.8%) underwent HREM. Abnormal esophageal motilities were identified in 68.8% patient: three patients (18.8%) had major motility disorders?achalasia (n=1), esophagogastric junction (EGJ) outflow obstruction (n=2)?and eight patients (50%) had minor motility disorders?ineffective esophageal motility (n=7), fragmented peristalsis (n=1). In those with normal esophageal motility, three patients of esophageal structure disorders (18.8%)?esophageal cancer (n=1), cardiogenic dysphagia (n=1), slight narrowing without obstruction of EGJ (n=1)?and two patients (12.5%) with chronic atrophic gastritis (n=2) were confirmed.
Conclusion: Esophageal motility disorders were identified in 68.8% of 16 patients with large esophageal residual barium with three patients in the major and eight patients in the minor categories. Residual barium in the esophagus was not rare and can be a sign of significant esophageal motility disorders.
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KEYWORD
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Deglutition disorders, Esophageal motility disorders, Endoscopy, Manometry
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