Navegando por Palavras-chave "Manometria De Alta Resolução"

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    Efeitos Da Acupuntura Na Motilidade Esofágica
    (Universidade Federal de São Paulo (UNIFESP), 2017-10-26) Vieira, Felipe Maia [UNIFESP]; Fernandes, Fernando Augusto Mardiros Herbella [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    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 3 phases: basal measurements, 20 minutes after acupuncture stimulation of the gastrointestinal point (ST36) or 20 minutes 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 2 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.