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Manometric Response to Heller's Myotomy in Achalasia.

Journal of the Korean Pediatric Society 1989;32(1):101-108.
Published online January 31, 1989.
Manometric Response to Heller's Myotomy in Achalasia.
Chun Wha Lee1, Kyung Mo Kim1, Jeong Kee Seo1, Hyung Ro Moon1, Joo Hyun Kim2
1Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
2Department of Thoracic Surgery , College of Medicine, Seoul National University, Seoul, Korea
Achalasia 환아 2례 -Myotomy 천후의 식도 Manometry 소견의 변화를 중심으로-
이춘화1, 김경모1, 서정기1, 문형로1, 김주현2
1서울대학교 의과대학 소아과학교실
2서울대학교 의과대학 흉부외과학교실
Received: 10 February 1988   • Accepted: 20 May 1988
Abstract
Achalasia is an espohageal motility disorder. It is characterized by the loss LES relaxation on swallowing and of esophageal peristalsis and results in dysphagia, regurgitation and substernal pain. Manometry is one of several diagnostic tests of achalasia and reveals 1) Complete absence of esophageal peristalsis, 2) hypertension of LES. 3) impaired sphincter relaxation on swallowing and 4) positive esophageal body pressure compared to intragastric pressure. We performed manometry pre-& postoperatively in 2 cases of achalasia on wihch modified Heller' s myotomy was applied and we found improved manometric findings in accordance with clinical lmprovement.
Key Words: Achalasia, Manometry


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