Tags

Type your tag names separated by a space and hit enter

Oesophageal motility after sclerotherapy for bleeding varices.
Acta Chir Scand. 1985; 151(3):249-53.AC

Abstract

Endoscopic injection sclerotherapy (ST) has gained wide acceptance as emergency and definitive treatment of bleeding oesophageal varices. The long-term effects of serial ST on oesophageal motility were studied in 19 patients with cirrhosis and prior variceal bleeding. A control group of 14 patients with compensated cirrhosis has been conservatively treated for major variceal haemorrhage a median of 5 months previously. In the ST group, eradication of the varices by serial ST had been completed a median of 7 months prior to manometry. The manometric results did not differ between the controls and 11 ST patients without dysphagia (SA). In eight ST patients with dysphagia (SB), the percentage of deglutitive peristaltic contractions (DPC) in the lower oesophagus was less than in the controls (31.4 vs. 98.6%) and in the SA patients (84%). Nonpropulsive contractions instead dominated in the lower oesophagus, but were frequent also in the upper part, resembling the motility pattern seen in patients with sclerodermal involvement of the oesophagus. When seven SB patients were reinvestigated after a median of 11.5 months (without further ST), the DPC value had increased to 74.2% and the dysphagia had decreased. The lower oesophageal sphincter pressure did not differ between the controls and the subgroups of ST patients.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

3874508

Citation

Söderlund, C, et al. "Oesophageal Motility After Sclerotherapy for Bleeding Varices." Acta Chirurgica Scandinavica, vol. 151, no. 3, 1985, pp. 249-53.
Söderlund C, Thor K, Wiechel KL. Oesophageal motility after sclerotherapy for bleeding varices. Acta Chir Scand. 1985;151(3):249-53.
Söderlund, C., Thor, K., & Wiechel, K. L. (1985). Oesophageal motility after sclerotherapy for bleeding varices. Acta Chirurgica Scandinavica, 151(3), 249-53.
Söderlund C, Thor K, Wiechel KL. Oesophageal Motility After Sclerotherapy for Bleeding Varices. Acta Chir Scand. 1985;151(3):249-53. PubMed PMID: 3874508.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Oesophageal motility after sclerotherapy for bleeding varices. AU - Söderlund,C, AU - Thor,K, AU - Wiechel,K L, PY - 1985/1/1/pubmed PY - 1985/1/1/medline PY - 1985/1/1/entrez SP - 249 EP - 53 JF - Acta chirurgica Scandinavica JO - Acta Chir Scand VL - 151 IS - 3 N2 - Endoscopic injection sclerotherapy (ST) has gained wide acceptance as emergency and definitive treatment of bleeding oesophageal varices. The long-term effects of serial ST on oesophageal motility were studied in 19 patients with cirrhosis and prior variceal bleeding. A control group of 14 patients with compensated cirrhosis has been conservatively treated for major variceal haemorrhage a median of 5 months previously. In the ST group, eradication of the varices by serial ST had been completed a median of 7 months prior to manometry. The manometric results did not differ between the controls and 11 ST patients without dysphagia (SA). In eight ST patients with dysphagia (SB), the percentage of deglutitive peristaltic contractions (DPC) in the lower oesophagus was less than in the controls (31.4 vs. 98.6%) and in the SA patients (84%). Nonpropulsive contractions instead dominated in the lower oesophagus, but were frequent also in the upper part, resembling the motility pattern seen in patients with sclerodermal involvement of the oesophagus. When seven SB patients were reinvestigated after a median of 11.5 months (without further ST), the DPC value had increased to 74.2% and the dysphagia had decreased. The lower oesophageal sphincter pressure did not differ between the controls and the subgroups of ST patients. SN - 0001-5482 UR - https://www.unboundmedicine.com/medline/citation/3874508/Oesophageal_motility_after_sclerotherapy_for_bleeding_varices_ L2 - https://medlineplus.gov/gastrointestinalbleeding.html DB - PRIME DP - Unbound Medicine ER -