Manometric findings at gastroenterology unit of husi in patients with dysphagia 2008–2011

Q2Q1Objective: Swallowing disorders are common in the general population and represent a major cause of disability in many patients. Dysphagia as the major symptom represents a challenge for clinicians because it requires exhaustive study to determine its etiology befote any therapeutic intervention. The study begins with a medical history, videofluoroscopy and/or upper endoscopy but esophageal manometry is the gold stantad of esophageal motor disorders. However the result could be normal in the presence of symptoms. Methods: We reviewed the records of conventional esophageal manometries made at Gastroenterology Unit in Hospital Universitario San Ignacio (HUSI), between July 2008 and October 2011, selecting those patientes whose indication was dysphagia, and review the results of those analysis. Results: We found in our records a total of 2275 manometries made between 2008 to 2011, 581 of them (26%) whose indication was dysphagia. A total of 386 (66.4%) were female and we clasified the findings according to age, with age between 21–40 years old 66 (11.3%), 41–60 years 198 (34%) and 61–80 years 102 (17.5%). On the other hand 195 (33.5%) men with an age range of 21–40 years 50 (8.6%), 41–60 years 71 (12.2%), 61–80 years 50 (8.6%). The most common conditions encountered are in order: Normal 205 (35.3%), ineffective peristalsis 126 (21.7%), Achalasia 101 (17.4%), hypotonic lower esophageal sphincter 98 (16.9%), aperistalsis 23 (4%), and diffuse esophageal spasm 18 (3.1%). Conclusion: From the analyzed results we found that most of manometries were normal. The most affected patients was in the fourth decade of life, identifying in this group esophageal motor disorders. The most common findings were ineffective peristalsis, Achalasia, hypotonic lower esophageal sphincter, with other pathologies in lesser percentage aperistalsis and diffuse esophageal spasm. We concluded that the percentage of patients with positive findings is not negligible, and the most common findings are related to gastroesophageal reflux disease, but primary disorders as achalasia should be always in mind.https://orcid.org/0000-0002-4523-7947https://orcid.org/0000-0002-9219-4548https://orcid.org/0000-0003-2938-7731https://orcid.org/0000-0003-1222-0636https://orcid.org/0000-0001-5660-6229Revista Internacional - Indexad