Registro completo |
Provedor de dados: |
BJMBR
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País: |
Brazil
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Título: |
A functional study of caustic strictures of the esophagus in children
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Autores: |
Da-Costa-Pinto,E.A.L.
Dorsa,T.K.
Altimani,A.
Andreollo,N.A.
Cardoso,S.R.
Morais,D.J.
Bustorff-Silva,J.M.
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Data: |
2004-11-01
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Ano: |
2004
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Palavras-chave: |
Caustic esophagitis
Esophageal dysfunction
Manometry
Esophageal transit
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Resumo: |
The objective of the present study was to assess esophageal motor function in 21 children (7.5 ± 2.9 years) with caustic strictures. Esophageal manometry was performed using a water-infusion system interfaced with a polygraph and displayed on a computer screen. The data were compared with those obtained from 9 healthy children. Radionuclide transit was determined by studying deglutition of a single bolus of 99mTc pertechnetate in 10 ml of water. Non-peristaltic low-amplitude and long-duration waves were the most common findings detected in patients with strictures longer than 20% of esophageal length (N = 11). Compared with the control group, these patients presented lower mean amplitude and longer mean duration of waves (24.4 ± 11.2 vs 97.9 ± 23.7 mmHg, P < 0.05, and 6.7 ± 2.4 vs 1.6 ± 0.1 s, P < 0.05, respectively). Six patients presented low-amplitude waves just below the constricted site. Ten children presented delayed esophageal transit. There was an association between dysphagia and abnormalities on manometry (P = 0.02) and between symptoms and scintigraphy data (P = 0.01). Dysphagia in caustic strictures is due to esophageal motility abnormalities, which are closely related to the scarred segment.
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Tipo: |
Info:eu-repo/semantics/article
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Idioma: |
Inglês
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Identificador: |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2004001100005
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Editor: |
Associação Brasileira de Divulgação Científica
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Relação: |
10.1590/S0100-879X2004001100005
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Formato: |
text/html
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Fonte: |
Brazilian Journal of Medical and Biological Research v.37 n.11 2004
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Direitos: |
info:eu-repo/semantics/openAccess
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