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논문 기본 정보

자료유형
학술저널
저자정보
Takahisa Yamasaki (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Toshihiko Tomita (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Sumire Mori (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Nishinomiy) Mayu Takimoto (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Akio Tamura (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Jap) Ken Hara (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Takashi Kondo (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Tomoaki Kono (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Katsuyuki Tozawa (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Yoshio Ohda (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Tadayuki Oshima (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Hirokazu Fukui (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Jiro Watari (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Hiroto Miwa (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan)
저널정보
대한소화관운동학회(현 대한소화기능성질환.운동학회) Journal of Neurogastroenterology and Motility (JNM) Journal of Neurogastroenterology and Motility (JNM) Vol.24 No.3
발행연도
2018.1
수록면
403 - 407 (5page)

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Background/Aims High-resolution esophageal manometry (HREM) is considered to be the gold standard for the diagnosis of achalasia. However, the Japan Esophageal Society recommends that esophagography is also accurate in either diagnosing or excluding the disorder. Accordingly, we compared the efficacy of esophagography and HREM in diagnosing achalasia patients with upper gastrointestinal symptoms. Methods HREM was performed in 126 patients with dysphagia. The final diagnosis of achalasia was done using HREM. Demographic data, symptoms, quality of life (QOL) were also obtained. We assessed the patients who were not able to be diagnosed by esophagography and compared the diagnostic values for esophagography with HREM-based achalasia diagnosis as the gold standard. Results A total of 48 cases of patients with achalasia, including 21 men and 27 women (mean age, 48.4 ± 19.6 years), were included in the study. Two patients were excluded. Of the remaining 46 patients, 36 (78.3%) patients were diagnosed as having achalasia by esophagography. The diagnostic sensitivity, specificity, and accuracy of esophagography were 78.3%, 88.0%, and 83.0%, respectively. Patients with type III achalasia had significantly lower physical QOL score than those with type I or II achalasia. Although the mental QOL score in patients with type III achalasia tended to decrease compared with that in patients with type I and II achalasia, the difference was not statistically significant. Conclusions Diagnosing esophageal achalasia by using esophagography alone has limited yield. Therefore, HREM should be used in patients with dysphagia and in whom achalasia cannot be diagnosed using EGD or esophagography.

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