ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
John M. Teskey
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Shoenut, J. P.
Right arrow Articles by Teskey, J. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Shoenut, J. P.
Right arrow Articles by Teskey, J. M.

Ann Thorac Surg 1988;45:303-305
© 1988 The Society of Thoracic Surgeons

Articles

Reflux Patterns in Patients with Achalasia without Operation

J. Patrick Shoenut, B.Sc., Brian G. Trenholm, M. Eng., Allan B. Micflikier, M.D., F.R.C.P.(C), John M. Teskey, M.D., F.R.C.S.(C)*

From the Departments of Medicine, Surgery, Radiology, and Biomedical Engineering, St. Boniface General Hospital and the University of Manitoba, Winnipeg, Man, Canada

Accepted for publication October 15, 1987.

* Address reprint requests to Dr. Teskey, 404-400 Tache Ave, Winnipeg, Man, Canada R2H 3C3

Five patients with achalasia who had not had an operation underwent esophageal manometry and 24-hour, ambulatory pH monitoring to determine the pattern and extent of esophageal reflux. One patient had reflux within normal limits. In 2 patients, reflux occurred 0.5% of the total time and no episodes of supine reflux were recorded. In the 2 remaining patients, reflux was measured 16.8% and 55.3% of the total time; however, in both patients, these results were influenced by lengthy bouts of supine reflux. These indices of reflux were not influenced by differences in resting lower esophageal sphincter tone, position, or length. Twenty-four-hour esophageal pH monitoring can be useful in the preoperative assessment of patients with achalasia, and the information obtained might influence the choice of operative procedure.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1988 by The Society of Thoracic Surgeons.