PMID- 31587543
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220410
IS  - 2093-0879 (Print)
IS  - 2093-0887 (Electronic)
IS  - 2093-0879 (Linking)
VI  - 25
IP  - 4
DP  - 2019 Oct 30
TI  - Elevated Intrabolus Pressure Predicts Abnormal Timed Barium Esophagram in 
      Esophagogastric Junction Outflow Obstruction.
PG  - 521-524
LID - 10.5056/jnm19025 [doi]
AB  - BACKGROUND/AIMS: Timed barium esophagram (TBE) is used the classification of 
      esophageal motility disorders and assessing esophageal function. Currently, there 
      are no published studies examining the relationship between high-resolution 
      manometry and TBE in patients with esophagogastric junction outflow obstruction 
      (EGJOO). This study seeks to evaluate this relationship and identify manometric 
      variables that may indicate further evaluation using TBE. METHODS: Retrospective 
      review of medical records identified patients with a diagnosis of EGJOO per the 
      Chicago classification version 3.0. TBE was performed using standard protocol. 
      Patients were divided into 2 groups based on complete emptying or persistence of 
      standing barium column at 5 minutes. RESULTS: Eleven patients were identified 
      with EGJOO who underwent both high-resolution manometry and TBE within 3 months. 
      Five patients had no standing barium column at 5 minutes, while 6 patients had a 
      persistent barium column. Mean age of each group was 54.0 years and 57.8 years, 
      respectively. Patients with abnormal TBE were found to have significantly 
      elevated intrabolus pressure (IBP) compared with patients who had a normal TBE. 
      CONCLUSIONS: In our study, we found significant differences in IBP between these 
      patient groups. These findings suggest that patients with EGJOO and elevated IBP 
      may prompt further clinical evaluation with TBE in order to clarify clinical 
      diagnosis and guide therapeutic intervention.
FAU - Hoscheit, Matthew
AU  - Hoscheit M
AD  - Departments of Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH, 
      USA.
FAU - Gabbard, Scott
AU  - Gabbard S
AD  - Departments of Gastroenterology, Cleveland Clinic Foundation, Cleveland, OH, USA.
LA  - eng
PT  - Journal Article
PL  - Korea (South)
TA  - J Neurogastroenterol Motil
JT  - Journal of neurogastroenterology and motility
JID - 101530189
PMC - PMC6786449
OTO - NOTNLM
OT  - Chicago
OT  - Esophageal motility disorders
OT  - Gastrointestinal transit
OT  - Humans
OT  - Manometry
COIS- Conflicts of interest: None.
EDAT- 2019/10/08 06:00
MHDA- 2019/10/08 06:01
PMCR- 2019/10/01
CRDT- 2019/10/08 06:00
PHST- 2019/02/12 00:00 [received]
PHST- 2019/07/20 00:00 [accepted]
PHST- 2019/10/08 06:00 [entrez]
PHST- 2019/10/08 06:00 [pubmed]
PHST- 2019/10/08 06:01 [medline]
PHST- 2019/10/01 00:00 [pmc-release]
AID - jnm19025 [pii]
AID - jnm-25-521 [pii]
AID - 10.5056/jnm19025 [doi]
PST - ppublish
SO  - J Neurogastroenterol Motil. 2019 Oct 30;25(4):521-524. doi: 10.5056/jnm19025.