Changes in Esophageal Motility after Acupuncture

Changes in Esophageal Motility after Acupuncture

Author Vieira, Felipe M. Autor UNIFESP Google Scholar
Herbella, Fernando A. M. Autor UNIFESP Google Scholar
Habib, Daniel H. Autor UNIFESP Google Scholar
Patti, Marco G. Google Scholar
Abstract Background Chinese medicine is widely used in the East with good results for the treatment of many diseases. Acupuncture has been increasingly used and recognized as a complementary medical treatment. Some studies on gastrointestinal motility are available

however, acupuncture effect on esophageal motility is still elusive due to the lack of studies with adequate methodology. This study aims to evaluate acupuncture effect on esophageal motility. Methods We studied 16 (50% females, mean age 26 years) volunteers. No individual underwent acupuncture sessions previously. All individuals underwent high-resolution manometry. The test was performed in three phases: basal measurements, 20 min after acupuncture stimulation of the gastrointestinal point (ST36), or 20 min after acupuncture stimulation of a sham point (5 cm medial to ST36) (crossover). ST36 or sham points were alternated in order based on randomization. Lower esophageal sphincter (LES) resting and residual pressure, distal latency (DL), and distal contractility integral (DCI) were recorded. All tests were reviewed by two experienced investigators blinded to the acupuncture point. Results LES resting pressure was significantly reduced after acupuncture (p = 0.015, Wilcoxon signed-rank test). DL was significantly increased after acupuncture (either Sham or ST36) as compared to basal measurement. Conclusion Our results showed that acupuncture on the digestive point decreases LES basal pressure. Acupuncture may be an alternative treatment to spastic disorders of the LES.
Keywords Esophageal motility
Acupuncture
High resolution manometry
Lower esophageal sphincter
Language English
Date 2017
Published in Journal Of Gastrointestinal Surgery. New York, v. 21, n. 8, p. 1206-1211, 2017.
ISSN 1091-255X (Sherpa/Romeo, impact factor)
Publisher Springer
Extent 1206-1211
Origin http://dx.doi.org/10.1007/s11605-017-3464-4
Access rights Closed access
Type Article
Web of Science ID WOS:000406026400002
URI http://repositorio.unifesp.br/handle/11600/51480

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