Triadafilopoulos G
Evans Memorial Department for Clinical Research, University Hospital, Boston University School of Medicine, Massachusetts.
Am J Gastroenterol. 1989 Feb;84(2):164-9.
Presented herein are the detailed esophageal manometric, radiologic, ambulatory pH, and scintigraphic findings from a patient who developed protracted and recurrent hiccups (singultus) after a lateral medullary infarction. Because of the usually transient and benign nature of hiccups, previous reports on esophageal dysfunction during hiccups have been sporadic and confined to manometric findings. Utilizing various esophageal function techniques, the main features observed during hiccups were esophageal body dilation and aperistalsis, absent lower esophageal sphincter relaxation in response to swallowing, poor emptying of the distal two-thirds of the esophageal body, and low distal esophageal pH. Most of these features normalized in the absence of hiccups. A comparison is made of these findings during prolonged hiccups with those of esophageal achalasia.
本文展示了一名在延髓外侧梗死之后出现持续性和复发性呃逆（打嗝）患者的详细食管测压、放射学、动态pH监测及闪烁扫描结果。由于呃逆通常具有短暂性和良性特征，以往关于呃逆期间食管功能障碍的报告较为零散，且局限于测压结果。利用多种食管功能检测技术，在呃逆期间观察到的主要特征包括食管体扩张和无蠕动、吞咽时食管下括约肌无松弛、食管体远端三分之二排空不良以及食管远端pH值较低。在无呃逆时，这些特征大多恢复正常。本文将持续性呃逆期间的这些发现与贲门失弛缓症的发现进行了比较。
