Do we need endoscopic ultrasonography for the workup of patients with esophageal motility disorder? - 29/09/19
, Gilles Roseau a, Bertrand Brieau a, Sarah Leblanc a, Romain Coriat a, b, Frédéric Prat a, b, Stanislas Chaussade a, bBenvenuto su EM|consulte, il riferimento dei professionisti della salute.
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Highlights |
• | A retrospective study evaluating the clinical contribution of Endoscopic Ultrasonography findings in achalasia and other esophageal motility disorders. |
• | A study including the largest number of patients with esophageal motility disorder investigated by EUS. |
• | Esophageal wall thickening measured during EUS was not predictive of achalasia subtypes or treatment outcome. |
• | Limited contribution of EUS in achalasia and other esophageal motility disorders. |
Summary |
Introduction |
Endoscopic ultrasonography (EUS) is advised in the workup of achalasia patients to rule out secondary achalasia or pseudoachalasia, and search for a typical esophageal wall thickening. The purpose of this study was to assess the clinical contribution of EUS findings in achalasia and other esophageal motility disorders (EMD).
Methods |
We conducted a single center retrospective study at a tertiary referral centre. We included all patients with an EUS for the workup of a suspected EMD from January 2012 to December 2017.
Results |
Sixty-nine patients were included, 52% were men, with a median (±SD) age of 61 ± 14 years. Median (±SD) Eckardt Score was 7 ± 2. EUS was normal in 26 (38%) patients, and showed an esophageal wall thickening in 43 (62%) patients. Three cases of secondary achalasia were diagnosed at mucosal biopsies: 2 esophageal carcinomas and one eosinophilic esophagitis. Esophageal wall thickening was not significantly associated with the type of EMD or achalasia subtype and there was no statistical correlation between the presence of a wall thickening at EUS and therapeutic outcomes.
Conclusion |
In our work, the presence of an esophageal wall thickening was not predictive of the type of EMD nor achalasia subtype or treatment outcome. The contribution of endoscopic ultrasonography in achalasia and other EMD seems limited.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Achalasia, Endoscopic ultrasonography, Esophageal motility disorders, Endoscopy
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Vol 43 - N° 5
P. 608-613 - ottobre 2019 Ritorno al numero
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