Fiorentino E, Costa R, Maiorana A, Cirrincione M, Vulpetti G, Cangialosi G, Marrazzo A, Scaffidi A
Cattedra di Fisiopatologia Chirurgica, Università di Palermo.
Minerva Med. 1991 Jan-Feb;82(1-2):15-7.
The investigations employed in the diagnosis of oesophageal achalasia have been assessed critically. Although electromanometry contributes most to diagnosis and pinpoints with absolute precision the physiopathological elements that characterise the disease, radioisotopic study of oesophageal transit is an important diagnostic aid. More readily than any other, this technique permits morphofunctional evaluation in selected patients; it also represents the most physiological investigation and the best tolerated and, second only to manometry, the most reliable. Oesophagography with baritate meal and oesophagoscopy also play a diagnostic role in oesophageal achalasia. The former makes it possible to document the cardial stop and the presence or otherwise of mega-oesophagus, the second excludes the presence of organic dysphagias and also has a therapeutic use because cycles of dilatation of the oesophago-cardial junction can be carried out.
对用于诊断食管失弛缓症的各项检查进行了严格评估。尽管食管测压对诊断贡献最大，能绝对精确地确定该疾病的生理病理特征要素，但食管通过放射性同位素研究也是一种重要的诊断辅助手段。这项技术比其他任何技术都更能轻易地对特定患者进行形态功能评估；它也是最符合生理的检查方法，耐受性最佳，仅次于测压，是最可靠的检查方法。硫酸钡餐食管造影和食管镜检查在食管失弛缓症的诊断中也发挥着作用。前者能够记录贲门梗阻以及巨食管的存在与否，后者则可排除器质性吞咽困难的存在，并且还具有治疗用途，因为可以进行食管 - 贲门交界处的扩张治疗。
