Allen M L, Orr W C, Mellow M H, Robinson M G
HCA Presbyterian Hospital, Oklahoma City, Oklahoma.
Gastroenterology. 1988 Sep;95(3):831-3. doi: 10.1016/s0016-5085(88)80036-2.
Data from 100 consecutive patients with chest pain or dysphagia, or both, who underwent esophageal testing with standard water swallows and upright food ingestion were retrospectively evaluated. In addition to having manometric patterns monitored, patients were asked to relate symptoms during testing. Of 77 patients with a history of dysphagia, significantly more had abnormal manometry during the test meal than with water swallows (79 vs. 43%, p less than 0.005). Additionally, dysphagia, although reported in only 8% of these patients during standard testing, occurred in 47% during the test meal (p less than 0.001). Of 60 patients with chest pain, symptoms were rarely reported (5%) with water or with food ingestion. We conclude that manometry with food ingestion should be used as a provocative test in anatomically normal patients with dysphagia.
对100例连续出现胸痛或吞咽困难或两者皆有的患者进行回顾性评估，这些患者接受了标准吞水试验和直立位进食时的食管检测。除监测测压模式外，还要求患者在检测过程中描述症状。在77例有吞咽困难病史的患者中，与吞水试验相比，试餐期间测压异常的患者明显更多（79%对43%，p<0.005）。此外，吞咽困难虽然在标准检测中仅8%的患者中出现，但在试餐期间有47%的患者出现（p<0.001）。在60例胸痛患者中，吞水或进食时很少有症状报告（5%）。我们得出结论，对于解剖结构正常的吞咽困难患者，进食时的测压应作为激发试验。
