RISS 검색 - 국내학술지논문 상세보기

다국어 초록 (Multilingual Abstract)

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.

참고문헌 (Reference)

1 Blonski W, "Timed barium swallow : diagnostic role and predictive value in untreated achalasia, esophagogastric junction outflow obstruction, and non-achalasia dysphagia" 113 : 196-203, 2018

2 Kostic S, "Timed barium esophagogram in the assessment of patients with achalasia : reproducibility and observer variation" 18 : 96-103, 2005

3 Varadarajulu S, "The yield and the predictors of esophageal pathology when upper endoscopy is used for the initial evaluation of dysphagia" 61 : 804-808, 2005

4 Yoon SW, "The usefulness of esophagogram with marshmallow bolus in patients with esophageal-related symptoms" 34 : 399-404, 1996

5 Kahrilas PJ, "The Chicago classification of esophageal motility disorders, v3. 0" 27 : 160-174, 2015

6 유병승 ; 박재춘 ; Whachun Yoo, "Standard Recipes for the Preparation of Thickened Barium Liquids Used in the Diagnosis of Dysphagia" 한국임상영양학회 8 (8): 265-271, 2019

7 Qureshi NA, "Outcome of index upper gastrointestinal endoscopy in patients presenting with dysphagia in a tertiary care hospital : a 10 years review" 7 : 43-, 2007

8 Triadafilopoulos G, "Oropharyngeal and esophageal interrelationships in patients with nonobstructive dysphagia" 37 : 551-557, 1992

9 Xiao Y, "Optimizing the swallow protocol of clinical high-resolution esophageal manometry studies" 24 : e489-e496, 2012

10 Sweis R, "Normative values and inter-observer agreement for liquid and solid bolus swallows in upright and supine positions as assessed by esophageal highresolution manometry" 23 : 509-, 2011