Diagnosis of esophageal motor disorders: A prospective study comparing barium swallow, food barium mixture, and continuous swallows with manometry

1992 ◽  
Vol 17 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Karin Aksglæde ◽  
Peter Funch-Jensen ◽  
Helle Vestergaard ◽  
Per Thommesen
1991 ◽  
Vol 105 (2) ◽  
pp. 104-108 ◽  
Author(s):  
N. S. Jones ◽  
F. J. Lannigan ◽  
N. Y. Salama

AbstractWe present the results of a prospective study of 388 patients presenting with a history of swallowing a foreign body. We indicate whether the patients' symptoms and signs were associated with a retained foreign body. While tenderness on palpation was an unreliable sign, pooling at indirect laryngoscopy invariably predicted a retained object. In many patients, initial careful examination of the oropharynx by casualty officers would have shown a retained fishbone in the tonsil or tongue and would have resulted in 16 per cent fewer radiographs and 17 per cent fewer referrals to the ENT department. Radiography only improved management in a small minority and 35 per cent of films were interpreted incorrectly by casualty officers. A follow-up barium swallow disclosed a pathological lesion in a significant proportion of patients with bolus obstruction, whether or not this was passed spontaneously.


Radiology ◽  
1992 ◽  
Vol 185 (2) ◽  
pp. 487-491 ◽  
Author(s):  
W Schima ◽  
G Stacher ◽  
P Pokieser ◽  
K Uranitsch ◽  
D Nekahm ◽  
...  

2010 ◽  
Vol 92 (2) ◽  
pp. 131-135 ◽  
Author(s):  
N Dunne ◽  
J Stratford ◽  
L Jones ◽  
J Sohampal ◽  
R Robertson ◽  
...  

INTRODUCTION Failure rates of laparoscopic antireflux surgery (LARS) vary from 2–30%. A degree of anatomical failure is common, and the most common failure is intrathoracic wrap herniation. We have assessed anatomical integrity of the crural repair and wrap using marking Liga clips placed at the time of surgery and compared this with symptomatic outcome. PATIENTS AND METHODS A prospective study was undertaken on 50 patients who underwent LARS in a single centre over a 3-year period. Each had an X-ray on the first postoperative day and a barium swallow at 6 months at which the distance was measured between the marking Liga clips. An increase in interclip distance of > 25–49% was deemed ‘mild separation’, and an increase of > 50% ‘moderate separation’. Patients completed a standardised symptom questionnaire at 6 months. RESULTS At 6 months' postoperatively, 22% had mild separation of the crural repair with a mean Visick score of 1.18, and 54% had moderate separation with a mean Visick score of 1.26. Mild separation of the wrap occurred in 28% with a mean Visick score of 1.21 and 22% moderate separation with a mean Visick score of 1.18. Three percent had mild separation of both the crural repair and wrap with a mean Visick score of 1.0, and 16% moderate separation with a mean Visick score of 1.13. Of patients, 14% had evidence of some degree of failure on barium swallow but only one of these was significant intrathoracic migration of the wrap which was symptomatic and required re-do surgery. CONCLUSIONS The prevalence of some form of anatomical failure, as determined by an increase in the interclip distance, is high at 6 months' postoperatively following LARS. However, this does not seem to correlate with a subjective recurrence of symptoms.


2001 ◽  
Vol 35 (1) ◽  
pp. 12-17 ◽  
Author(s):  
Mehmet Aktekin ◽  
Taha Karaman ◽  
Yesim Yigiter Senol ◽  
Sukru Erdem ◽  
Hakan Erengin ◽  
...  

2001 ◽  
Vol 120 (5) ◽  
pp. A627-A627
Author(s):  
D JONG ◽  
J VANDENBERGH ◽  
A HERMUS ◽  
F CORSTENS ◽  
A NABER

2007 ◽  
Vol 177 (4S) ◽  
pp. 25-26
Author(s):  
Simon Kim ◽  
Rodney L. Dunn ◽  
Edward J. McGuire ◽  
John O.L. DeLancey ◽  
John T. Wei

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