Schima W, Ryan JM, Harisinghani M, Schober E, Pokieser P, Denk DM, Stacher G. Radiographic detection of achalasia: diagnostic accuracy of videofluoroscopy.
Clin Radiol 1998;
53:372-5. [PMID:
9630278 DOI:
10.1016/s0009-9260(98)80012-3]
[Citation(s) in RCA: 25] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
AIMS
To retrospectively evaluate the accuracy of videofluoroscopy in the diagnosis of achalasia.
MATERIALS AND METHODS
Videofluoroscopic studies of the oesophagus of 53 patients (25 males, 28 females; mean age, 49 years) with manometrically revealed diagnosis of achalasia were retrospectively evaluated. The videofluoroscopic examinations had been carried out with one swallow of low-density barium suspension in the erect and up to three swallows in the prone oblique position. Videofluoroscopically, a diagnosis of achalasia was made in 31 of the patients (58%) with manometrically proven achalasia, of whom only nine had oesophageal dilatation. Non-specific oesophageal motor abnormalities were diagnosed radiographically in 18 patients (34%) and a normal motility in four patients (8%).
CONCLUSION
Videofluoroscopy is a valuable and sensitive technique for the detection of disordered oesophageal motility in achalasia.
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