Navegando por Palavras-chave "Esophageal motility disorders"

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    High-resolution Manometry Findings in Patients After Sclerotherapy for Esophageal Varices
    (Korean Soc Neurogastroenterology & Motility, 2016) Herbella, Fernando Augusto Mardiros [UNIFESP]; Colleoni, Ramiro [UNIFESP]; Bot, Luiz [UNIFESP]; Vicentine, Fernando Pompeu Piza [UNIFESP]; Patti, Marco G.
    Background/Aims Endoscopic therapy for esophageal varices may lead to esophageal dysmotility. High-resolution manometry is probably the more adequate tool to measure esophageal motility in these patients. This study aimed to evaluate esophageal motility using high resolution manometry following eradication of esophageal varices by endoscopic sclerotherapy. Methods We studied 21 patients (11 women, age 52 [45-59] years). All patients underwent eradication of esophageal varices with endoscopic sclerotherapy and subsequent high resolution manometry. Results A significant percentage of defective lower esophageal sphincter (basal pressure 14.3 [8.0-20.0] mmHg
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    Novas técnicas ambulatoriais para avaliação da motilidade esofágica e sua aplicação no estudo do megaesôfago
    (Colégio Brasileiro de Cirurgiões, 2008-06-01) Herbella, Fernando A. M. [UNIFESP]; Del Grande, José Carlos [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Brazilian surgeons deal routinely with esophageal motility disorders, because achalasia is highly prevalent in Brazil due to Chagas' disease. In the last years new technologies for the evaluation of esophageal motility became available. High resolution manometry and the combination of barometric parameters and intraluminal impedance are the new frontiers on this topic. The authors reviewed current, national and international, literature about achalasia with multichannel intraluminal impedance and high resolution manometry studies. The new technologies described are promising, however few studies have been published and further studies are still expected for achalasia patients.
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    A pictorial presentation of 3.0 Chicago Classification for esophageal motility disorders
    (Inst Israelita Ensino & Pesquisa Albert Einstein, 2016) Herbella, Fernando Augusto [UNIFESP]; Armijo, Priscila Rodrigues [UNIFESP]; Patti, Marco Giuseppe
    High resolution manometry changed several esophageal motility paradigms. The 3.0 Chicago Classification defined manometric criteria for named esophageal motility disorders. We present a pictorial atlas of motility disorders. Achalasia types, esophagogastric junction obstruction, absent contractility, distal esophageal spasm, hypercontractile esophagus (jackhammer), ineffective esophageal motility, and fragmented peristalsis are depicted with high-resolution manometry plots.
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    A pictorial presentation of esophageal high resolution manometry current parameters
    (Colegio Brasileiro Cirurgia Digestiva-Cbcd, 2017) Lafraia, Fernanda M. [UNIFESP]; Herbella, Fernando A. M. [UNIFESP]; Kalluf, Julia R. [UNIFESP]; Patti, Marco G.
    Introduction: High resolution manometry is the current technology used to the study of esophageal motility and is replacing conventional manometry in important centers for esophageal motility with parameters used on esophageal motility, following the Chicago Classification. This classification unifies high resolution manometry interpretation and classifies esophageal disorders. Objective: This review shows, in a pictorial presentation, the new parameters established by the Chicago Classification, version 3.0, aimed to allow an easy comprehension and interpretation of high resolution manometry. Methods: Esophageal manometries performed by the authors were reviewed to select illustrative tracings representing Chicago Classification parameters. Results: The parameters are: Esophagogastric Morphology, that classifies this junction according to its physiology and anatomy
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    Understanding the Chicago Classification: From Tracings to Patients
    (Korean Soc Neurogastroenterology & Motility, 2017) Schlottmann, Francisco; Herbella, Fernando A. [UNIFESP]; Patti, Marco G.
    Current parameters of the Chicago classification include assessment of the esophageal body (contraction vigour and peristalsis), lower esophageal sphincter relaxation pressure, and intra-bolus pressure pattern. Esophageal disorders include achalasia, esophagogastric junction outflow obstruction, major disorders of peristalsis, and minor disorders of peristalsis. Sub-classification of achalasia in types I, II, and III seems to be useful to predict outcomes and choose the optimal treatment approach. The real clinical significance of other new parameters and disorders is still under investigation.