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  • Oesophagusmanometrie  (3)
  • Esophageal involvement  (1)
  • 1
    Electronic Resource
    Electronic Resource
    9. Hiatusbruch, Sphincterinsuffizienz, Refluxoesophagitis: Endoskopie, Manometrie, konservative Therapie (1974)
    Springer
    Langenbeck's archives of surgery 337 (1974), S. 103-108 
    Details
    ISSN: 1435-2451
    Keywords: Reflux Esophagitis ; Endoscopy ; pH Measurement ; Esophageal Manometry ; Refluxoesophagitis ; Endoskopie ; pH-Messung ; Oesophagusmanometrie
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Diagnostisch notwendig bei der Refluxkrankheit des Oesophagus sind eingehende Anamneseerhebung, röntgenologische und endoskopisch-histologische Untersuchungen. Wünschenswert sind intraoesophageale pH-Messung und Manometrc. Entbehrlich sind Magensekretionsanalyse, PD-Messung und Säureperfusionstest. Bei der ulcerierend-stenosierenden Entzündung sollte operiert, bei den anderen Formen zunächst 3—6 Monate intensiv konservativ behandelt werden: Antacida, proteinreiche, fettarme Kost, Nicotinund Alkoholabstinenz, Bettkopfende anheben, Körpergewicht normalisieren.
    Notes: Summary A detailed history, radiology, endoscopy and histology are indispensable in the diagnosis of reflux disease of the esophagus. Measurement of esophageal pH and manometry are useful, whereas gastric secretory analysis, measurement of PD and the acid perfusion test can be omitted. Severe esophagitis with ulcers and stenosis requires surgery, while in the case of other reflux problems conservative treatment can first be applied for 3 to 6 months: Antacids, high-protein and low-fat diet, no nicotine, no alcohol, elevation of the bed head, normalization of body weight.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01278641
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  • 2
    Electronic Resource
    Electronic Resource
    Long-term manometry of tubular esophagus in progressive systemic sclerosis (1994)
    Springer
    Journal of molecular medicine 72 (1994), S. 343-349 
    Details
    ISSN: 1432-1440
    Keywords: Long-term manometry ; Progressive systemic sclerosis ; Esophageal involvement
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Long-term manometry of the tubular esophagus was performed in 20 consecutive patients (18 females, 2 males; median age 56.5 years) with progressive systemic sclerosis (PSS) and a control group of 20 healthy subjects (18 females, 2 males; median age 56.5 years). The measurements were performed via a data logger of 1 MByte memory capacity with the help of two pressure sensors placed 8 and 18 cm above the lower esophageal sphincter. Esophageal contractions were analyzed with respect to pressure amplitudes in the esophagus distal and proximal, quotient of pressure amplitudes distal/proximal, number of contraction waves in a 24-h period, and kind of spreading (propulsive, simultaneous). In the PSS group there was a significant decrease in pressure amplitudes in the distal sensor (median 31.5 versus 39.5 mbar in controls, P 〈 0.02), in the quotient of pressure amplitudes distal/proximal (median 0.885 versus 1.25 in controls, P 〈 0.001), in the number of waves in 24 h (median 939.5 versus 1656 in controls, P 〈 0.01), and in the occurrence of propulsive waves (median 34% versus 57% in controls, P 〈 0.01). Fifteen patients (75%) had hypomotility disorders as compared to the control group, in which the lower limit of normal values was defined by the 5th percentile of descriptive analysis. These first data of long-term manometry in patients with PSS indicate that long-term manometry may be an effective method for identifying esophageal involvement in PSS.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00252825
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    91. Pathophysiologie, Klinik und rationelle Diagnostik der gastrooesophagealen Refluxkrankheit und der axialen Hiatushernie (1987)
    Springer
    Langenbeck's archives of surgery 372 (1987), S. 527-533 
    Details
    ISSN: 1435-2451
    Keywords: Gastroesophageal reflux ; Endoscopy ; pH-recording ; Esophageal manometry ; Gastrooesophagealer Reflux ; Endoskopie ; pH-Metrie ; Oesophagusmanometrie
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Niedriger Druck oder unzeitige Erschlaffung des unteren Oesophagussphincters, Störungen der Oesophagusperistaltik und verzögerte Magenentleerung sind die wichtigsten pathogenetischen Faktoren der Refluxkrankheit. Im allgemeinen stellen retrosternale sowie epigastrische und pharyngeale Schmerzen oder Brennen die Leitsymptome dar. Die Diagnose wird gewöhnlich auf der Basis typischer Symptome und endoskopischer Befunde gestellt. Die 24-h-pH-Metrie ist bei unauffälligem endoskopischen Befund, bei Thoraxschmerz unklarer Ursache und bei der präoperativen Diagnostik indiziert. Die Manometrie dient der Erkennung eines Oesophagusbefalls bei Sklerodermie.
    Notes: Summary Low pressure or inappropriate relaxation of the lower esophageal sphincter, disturbances in esophageal peristalsis and delayed gastric emptying are the most important pathogenetic factors of reflux disease. In general, retrosternal and also epigastric and pharyngeal burning or pain are the leading symptoms, but in mild disease eructation may become the major complaint. Diagnosis is usually made on the basis of a typical history and the results of endoscopy. 24-h-pH-recording is indicated in inconclusive endoscopy, chest pain of unknown origin and preoperative evaluation. Manometry may be indicated to exclude systemic sclerosis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01297875
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    161. Postoperative Syndrome nach Gastrektomie und unterschiedlichen Verfahren des Magenersatzes (1980)
    Springer
    Langenbeck's archives of surgery 352 (1980), S. 525-526 
    Details
    ISSN: 1435-2451
    Keywords: Total gastrectomy ; Reflux ; Esophagus manometry ; Gastrektomie ; Reflux ; Oesophagusmanometrie
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung 60 gastrektomierte Patienten mit 5 Verfahren des Magenersatzes wurden nachuntersucht. Beschwerden durch einen jejuno-oesophagealen Reflux werden nur von $${\raise0.7ex\hbox{$1$} \!\mathord{\left/ {\vphantom {1 3}}\right.\kern-\nulldelimiterspace}\!\lower0.7ex\hbox{$3$}}$$ der Patienten mit einer Jejunuminterposition geklagt. Bei der Jejunoplicatio und der Interposition findet sich endoskopisch-histologisch die Oesophagitis qualitativ und quantitativ geringer ausgeprägt. Manometrisch kann nur bei 5 von 16 Gastrektomierten ein funktionstüchtiger unterer Oesophagussphincter nachgewiesen werden. Der Sphincterverlust muß als Mitursache des Refluxes angesehen werden.
    Notes: Summary The follow-up of 60 patients submitted to total gastrectomy and five techniques of gastric substitute are reported. Complaints caused by jejuno-esophageal reflux occurred in one-third of the patients with the Longmire method. In this method and with a jejunoplicatio esophagitis histologically revealed as low grade. Manometric examination of 16 patients who had undergone gastrectomy proved normal function of the lower esophagus sphincter in only 5. This loss of sphincter function is seen as an additional cause of reflux esophagitis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01292124
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    Paper (German National Licenses)
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