Esophageal manometric abnormalities in Parkinson's disease

被引:30
作者
Bassotti, G
Germani, U
Pagliaricci, S
Plesa, A
Giulietti, O
Mannarino, E
Morelli, A
机构
[1] UNIV PERUGIA, DIPARTIMENTO MED CLIN PATOL & FARMACOL, MED CLIN 2, I-06100 PERUGIA, ITALY
[2] UNIV N CAROLINA, CTR FUNCT GASTROINTESTINAL DIS, CHAPEL HILL, NC 27515 USA
[3] UNIV N CAROLINA, DEPT MED, DIV DIGEST DIS & NUTR, CHAPEL HILL, NC 27515 USA
关键词
esophagus; manometry; motility; Parkinson's disease; deglutition; deglutition disorders;
D O I
10.1007/PL00009546
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
The gastrointestinal tract, and especially the esophagus, is frequently involved in neurological diseases; however, objective studies of gut motor function are few, We carried out an esophageal manometric study in 18 patients with various stages of Parkinson's disease (4 stage I, 4 stage II, 7 stage III, and 3 stage IV) to evaluate the function of the viscus in this disease. Clinical assessment showed that 61% complained of esophageal symptoms such as dysphagia, acid regurgitation, pyrosis, and noncardiac chest pain. Manometric abnormalities were documented also in 61% patients, and were represented by repetitive contractions, simultaneous contractions, reduced LES pressure, and high-amplitude contractions. However, only 33.3% of patients had both symptoms and manometric abnormalities. We conclude that esophageal motor abnormalities are frequent in Parkinson's disease, and may appear at an early stage of the disease.
引用
收藏
页码:28 / 31
页数:4
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