Alkim Canan, Dağli Ulkü, Akyürek Nurten, Sahin Burhan, Barlas Ulusoy Nefise
Department of Gastroenterology, SiSli Etfal Research and Training Hospital, Istanbul.
Turk J Gastroenterol. 2009 Sep;20(3):204-8. doi: 10.4318/tjg.2009.0008.
Esophageal manometry is a valuable tool in the diagnosis of achalasia. The manometric features proposed for diagnosing classic achalasia are incomplete relaxation of the lower esophageal sphincter and aperistalsis in the body of the esophagus. Atypical achalasia cases have been reported that do not have the characteristic manometric features of classic achalasia. We report the clinical, radiological and manometric follow-up of a 45-year- old woman who presented with atypical manometric features of achalasia that have not been reported in the literature and who after a short period demonstrated the manometric features of classical achalasia.
食管测压是诊断贲门失弛缓症的一项重要工具。用于诊断典型贲门失弛缓症的测压特征为食管下括约肌不完全松弛以及食管体部无蠕动。已有报道称非典型贲门失弛缓症病例并不具备典型贲门失弛缓症的特征性测压表现。我们报告了一名45岁女性患者的临床、放射学及测压随访情况,该患者表现出文献中未报道过的非典型贲门失弛缓症测压特征,且在短时间后呈现出典型贲门失弛缓症的测压特征。