Presentation is loading. Please wait.

Presentation is loading. Please wait.

Erroneous Diagnosis of Gastroesophageal Reflux Disease in Achalasia

Similar presentations


Presentation on theme: "Erroneous Diagnosis of Gastroesophageal Reflux Disease in Achalasia"— Presentation transcript:

1 Erroneous Diagnosis of Gastroesophageal Reflux Disease in Achalasia
Boudewijn F. Kessing, Albert J. Bredenoord, André J.P.M. Smout  Clinical Gastroenterology and Hepatology  Volume 9, Issue 12, Pages (December 2011) DOI: /j.cgh Copyright © 2011 AGA Institute Terms and Conditions

2 Figure 1 Fragment of 24-hour pH measurement in a patient with achalasia. Stasis of food with acidic contents is responsible for a long episode with pH <4. Clinical Gastroenterology and Hepatology 2011 9, DOI: ( /j.cgh ) Copyright © 2011 AGA Institute Terms and Conditions

3 Figure 2 Impedance tracing measured in a normal subject and an achalasia patient. The impedance tracings in the achalasia patients are characterized by low distal baseline impedance levels. Clinical Gastroenterology and Hepatology 2011 9, DOI: ( /j.cgh ) Copyright © 2011 AGA Institute Terms and Conditions

4 Figure 3 Classic achalasia, which is identified by absent LES relaxation and absent peristalsis as measured by conventional manometry. Clinical Gastroenterology and Hepatology 2011 9, DOI: ( /j.cgh ) Copyright © 2011 AGA Institute Terms and Conditions

5 Figure 4 High-resolution manometry plot of classic achalasia, which is identified by the absence of LES relaxation and no peristaltic contractions of the esophagus after the onset of a swallow. Clinical Gastroenterology and Hepatology 2011 9, DOI: ( /j.cgh ) Copyright © 2011 AGA Institute Terms and Conditions


Download ppt "Erroneous Diagnosis of Gastroesophageal Reflux Disease in Achalasia"

Similar presentations


Ads by Google