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Spasm in the Differential Diagnosis of Gastroesophageal Reflux

Spasm in the Differential Diagnosis of Gastroesophageal Reflux Abstract We have examined a consecutive series of patients referred to the Esophageal Clinic of the University of Illinois because of esophageal symptoms. Sixty-three patients were examined and contrasted with a series of 25 normal controls. Preoperative and postoperative symptoms were useless as factors for distinguishing whether a patient had reflux or spasm or both due to a wide overlap of symptomatology. Operation was performed on 22 patients. In ten with esophagitis alone, healing of the lesion and relief of symptoms resulted. In six with esophagitis and spasm, whereas healing occurred in all, in only two were symptoms relieved. Of six with spasm alone, only one experienced relief of symptoms. References 1. Ellis FH: Esophageal function tests: Their uses and limitations . Ann Thorac Surg 12:446-449, 1971.Crossref 2. Bombeck CT, Helfrich GB, Nyhus LM: Planning surgery for reflux esophagitis and hiatus hernia . Surg Clin N Amer 50:29-44, 1970. 3. Silber W: Spasm of the esophagus . Surgery Annual 3:199-225, 1971. 4. Creamer B, Donoghue FE, Code CF: Pattern of esophageal motility in diffuse spasm . Gastroenterology 34:782-796, 1958. 5. Nissen R: Gastropexy and "fundoplication" in surgical treatment of hiatal hernia . Amer J Dig Dis 6:954, 1961.Crossref 6. Baue AE, Belsey RHR: The treatment of sliding hiatus hernia and reflux esophagitis by the Mark IV technique . Surgery 62:396, 1967. 7. Hill LD: An effective operation for hiatal hernia: An eight year appraisal . Ann Surg 166:681-692, 1967.Crossref 8. Tuttle SG, Grossman MI: Detection of gastro-esophageal reflux by simultaneous measurement of intraluminal pressure and pH . Proc Soc Exp Biol Med 98:225, 1958.Crossref 9. Harris LD: The present status of esophageal manometry . Gastroenterology 50:708-710, 1966. 10. Edwards DAW: The clinician's view of motility studies. Read before the American Gastroenterological Association, Miami Beach, Fla, 1971. 11. Code CF: Comparative evaluation of motility studies in the diagnosis of esophageal disease . Gastroenterology 56:798-801, 1969. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Spasm in the Differential Diagnosis of Gastroesophageal Reflux

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Publisher
American Medical Association
Copyright
Copyright © 1972 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1972.04180040091016
Publisher site
See Article on Publisher Site

Abstract

Abstract We have examined a consecutive series of patients referred to the Esophageal Clinic of the University of Illinois because of esophageal symptoms. Sixty-three patients were examined and contrasted with a series of 25 normal controls. Preoperative and postoperative symptoms were useless as factors for distinguishing whether a patient had reflux or spasm or both due to a wide overlap of symptomatology. Operation was performed on 22 patients. In ten with esophagitis alone, healing of the lesion and relief of symptoms resulted. In six with esophagitis and spasm, whereas healing occurred in all, in only two were symptoms relieved. Of six with spasm alone, only one experienced relief of symptoms. References 1. Ellis FH: Esophageal function tests: Their uses and limitations . Ann Thorac Surg 12:446-449, 1971.Crossref 2. Bombeck CT, Helfrich GB, Nyhus LM: Planning surgery for reflux esophagitis and hiatus hernia . Surg Clin N Amer 50:29-44, 1970. 3. Silber W: Spasm of the esophagus . Surgery Annual 3:199-225, 1971. 4. Creamer B, Donoghue FE, Code CF: Pattern of esophageal motility in diffuse spasm . Gastroenterology 34:782-796, 1958. 5. Nissen R: Gastropexy and "fundoplication" in surgical treatment of hiatal hernia . Amer J Dig Dis 6:954, 1961.Crossref 6. Baue AE, Belsey RHR: The treatment of sliding hiatus hernia and reflux esophagitis by the Mark IV technique . Surgery 62:396, 1967. 7. Hill LD: An effective operation for hiatal hernia: An eight year appraisal . Ann Surg 166:681-692, 1967.Crossref 8. Tuttle SG, Grossman MI: Detection of gastro-esophageal reflux by simultaneous measurement of intraluminal pressure and pH . Proc Soc Exp Biol Med 98:225, 1958.Crossref 9. Harris LD: The present status of esophageal manometry . Gastroenterology 50:708-710, 1966. 10. Edwards DAW: The clinician's view of motility studies. Read before the American Gastroenterological Association, Miami Beach, Fla, 1971. 11. Code CF: Comparative evaluation of motility studies in the diagnosis of esophageal disease . Gastroenterology 56:798-801, 1969.

Journal

Archives of SurgeryAmerican Medical Association

Published: Apr 1, 1972

References