Role of oesophageal manometry and pH studies in the diagnosis of endoscopy negative upper gastrointestinal disorders

dc.contributor.authorSamarasekera, D.N.
dc.contributor.authorGunawardena, P.A.H.A.
dc.contributor.authorde Silva, H.J.
dc.date.accessioned2016-04-04T11:28:50Z
dc.date.available2016-04-04T11:28:50Z
dc.date.issued1999
dc.descriptionOral Presentation Abstract (OP 20), 112th Anniversary Academic Sessions, Sri Lanka Medical Association, March 1999 Kandy, Sri Lankaen_US
dc.description.abstractDysphagia and symptoms of gastro-oesophageal reflux disease (GOPD) are common upper gastrointestinal (Gl) symptoms. However a significant proportion of these patients do not have any endoscopic or radiological abnormalities. Therefore, they are most often labeled as having a "motility disorder" or sometimes as "functional", without any objective assessment OBJECTIVES: To assess the oesophageal motility and the pH in symptomatic patients with normal upper Gl endoscopy results. METHODS: Twelve patients with dysphagia and four patients with symptoms of GORD were assessed (n=16) over a period of 20 months {1.1.97 to 30.8.98). Measurements were recorded using a computerized oesophageal pressure/pH transducer (Synectics, UK). RESULTS: Male:Femaie = 7:9. Median age was 52 (range 42-75) years. MotiNty studies indicated oesophageal hypomotility in 3 (19%), early achalasia 2 (13%), and normal motility in 7 (43%) patients. Twenty four hour pH monitoring revealed marked GO reflux in 2 (13%) patients and normal values in 2 (13%) patients.CONCLUSIONS: Since a significant proportion (44%) of our patients showed a positive result, we conclude that manometry and pH studies of the oesophagus are mandatory in the diagnosis of patients with persistent dysphagia and reflux symptoms as most motility disorders cannot be diagnosed only on endoscopy or radiology alone.en_US
dc.identifier.citationSri Lanka Medical Association, 112th Anniversary Academic Sessions. 1999; 28en_US
dc.identifier.issn0009-0895
dc.identifier.urihttp://repository.kln.ac.lk/handle/123456789/12498
dc.language.isoen_USen_US
dc.publisherSri Lanka Medical Associationen_US
dc.subjectoesophageal manometryen_US
dc.titleRole of oesophageal manometry and pH studies in the diagnosis of endoscopy negative upper gastrointestinal disordersen_US
dc.typeConference Abstracten_US

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