Lock, Guntram and Strotzer, M. and Straub, Rainer H. and Schoelmerich, Juergen and Feuerbach, S. and Holstege, A. and Lang, B. (1998) Air oesophagogram: A frequent, but not a specific sign of oesophageal involvement in connective tissue diseases. BRITISH JOURNAL OF RHEUMATOLOGY, 37 (9). pp. 1011-1014. ISSN 0263-7103,
Full text not available from this repository.Abstract
Objective. This study investigates the role of the air oesophagogram in conventional chest X-rays for the diagnosis of oesophageal dysmotility in patients with connective tissue diseases. Methods. Fifty-one patients with connective tissue diseases were studied by oesophageal manometry and lateral and posterior-anterior chest X-rays. The presence or absence of oesophageal air on chest X-rays were evaluated separately in the upper, middle and distal segment of the oesophagus. Forty-seven chest X-rays of patients without connective tissue diseases, who had undergone manometry for the evaluation of oesophagus-related symptoms and who had normal oesophageal function, were analysed as a control. Results. A total of 23/51 patients with connective tissue diseases showed oesophageal dysfunction in manometry; 16/51 patients (31%) had air in two or more oesophageal segments on the lateral chest X-ray. There was a significant association of manometrically proven oesophageal dysmotility and air in two or three oesophageal segments (P < 0.05; sensitivity 48%, specificity 82%). However, the prevalence of an air oesophagogram showed no significant difference between patients with connective tissue diseases and the control group (10/47; 21%). Conclusion. The radiological sign of an air oesophagogram is neither sensitive nor specific enough to omit oesophageal motility studies in patients with connective tissue diseases.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PROGRESSIVE SYSTEMIC-SCLEROSIS; GASTROINTESTINAL MANIFESTATIONS; ESOPHAGEAL INVOLVEMENT; SCLERODERMA; MOTILITY; systemic sclerosis; oesophagus; air; manometry; X-ray; connective tissue disease |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin I Medicine > Lehrstuhl für Röntgendiagnostik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 25 Apr 2023 09:47 |
| Last Modified: | 25 Apr 2023 09:47 |
| URI: | https://pred.uni-regensburg.de/id/eprint/49536 |
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