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인후부 및 전흉부 이물감을 호소하는 환자에서의 식도운동 질환
박승국(Soong Kook Park),강영우(Young Woo Kang),한창엽(Chang Yeob Han) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.2
N/A Our aim was to determine whether globus sense in throat or anterior chest could be a manifestation of esophageal motility disorders. We have performed solid state esophageal manometry in, 88 patients who complained of globus in throat or anterior chest without abnormalities on upper gastrointestinal endoscopy, indirect laryngos- copy, chest PA and electrocardiogram. Twenty six patiente had complaint of globus sense in throat, 57 patients in anterior chest and 5 patients in both. Among them, twenty eight patients had esophageal motility disorders: nonspecific esophageal motility disorder in 16 (18%), nutcracker esophagus in 10 (11.4%), and hypertensive lawer esophageal sphincter in 2 (2.3%). While four patients (15.4%) had esophageal motility disorders among 26 patients with globus sense in throat, 22 patients (38.6%) had esophageal motility disorders among 57 patients with globus sense in anterior chest and two patients (40%), among five patients with globus sense in throat and anterior chest. In concluaion, a part of patients with globus sense do have real esophageal motility disorders, especially patients with globus sense in anterior chest
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