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RISS 인기검색어
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- 저자 : Nagashima Yuki (검색결과 2 건)
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Clinical Characteristics of Esophageal Motility Disorders in Patients With Heartburn
( Satsuki Takahashi ),( Tomoaki Matsumura ),( Tatsuya Kaneko ),( Mamoru Tokunaga ),( Hirotaka Oura ),( Tsubasa Ishikawa ),( Ariki Nagashima ),( Wataru Shiratori ),( Naoki Akizue ),( Yuki Ohta ),( Atsu 대한소화기기능성질환·운동학회 2021 Journal of Neurogastroenterology and Motility (JNM Vol.27 No.4
Background/Aims Esophageal motility disorders (EMDs) contribute to the pathophysiology of gastroesophageal reflux disease. However, the causes of EMDs and their impact on gastroesophageal reflux disease-associated symptoms remain unknown. This study aims to elucidate clinical features associated with various types of EMDs in patients with heartburn symptoms. Methods Of the 511 patients who underwent high-resolution manometry, 394 who were evaluated for heartburn symptoms were examined. Patients subjected to high-resolution manometry were classified into 4 groups: outflow obstruction group, hypermotility group, hypomotility group, and normal motility group. Symptoms were evaluated using 3 questionnaires. Patient characteristics and symptoms for each EMD type were compared with those of the normal motility group. Results Of the 394 patients, 193 (48.9%) were diagnosed with EMDs, including 71 with outflow obstruction, 15 with hypermotility, and 107 with hypomotility. The mean dysphagia score was significantly higher in each of the 3 EMD groups compared with those with normal motility. The mean acid reflux and dyspepsia scores were significantly lower in the outflow obstruction group (P < 0.05). The mean body mass index and median Brinkman index were significantly higher in the hypermotility group (P = 0.001 and P = 0.018, respectively), whereas the mean diarrhea and constipation scores were significantly lower in the hypomotility group (P < 0.05). Conclusions The results of our study indicate that different EMDs have distinct characteristics. Cigarette smoking and high body mass index were associated with esophageal hypermotility. Assessment of the dysphagia symptom scores may help identify patients with EMDs. (J Neurogastroenterol Motil 2021;27:545-554)
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Inoue Takaki,Maki Satoshi,Furuya Takeo,Okimatsu Sho,Yunde Atsushi,Miura Masataka,Shiratani Yuki,Nagashima Yuki,Maruyama Juntaro,Shiga Yasuhiro,Inage Kazuhide,Orita Sumihisa,Eguchi Yawara,Ohtori Seiji 대한척추외과학회 2023 Asian Spine Journal Vol.17 No.4
Study Design: Retrospective study.Purpose: To compare the radiographic risk factors for decreased cervical lordosis (CL) after laminoplasty, focusing on the difference between cervical spondylotic myelopathy (CSM) and cervical ossification of the posterior longitudinal ligament (C-OPLL).Overview of Literature: A few reports compared the risk factors for decreased CL between CSM and C-OPLL although these two pathologies have their characteristics.Methods: This study included 50 patients with CSM and 39 with C-OPLL who underwent multi-segment laminoplasty. Decreased CL was defined as the difference between preoperative and 2-year postoperative neutral C2–7 Cobb angles. Radiographic parameters included preoperative neutral C2–7 Cobb angles, C2–7 sagittal vertical axis (SVA), T1 slope (T1S), dynamic extension reserve (DER), and range of motion. The radiographic risk factors were investigated for decreased CL in CSM and C-OPLL. Additionally, the Japanese Orthopedic Association (JOA) score was assessed preoperatively and 2 years postoperatively.Results: C2–7 SVA (<i>p</i> =0.018) and DER (<i>p</i> =0.002) were significantly correlated with decreased CL in CSM, while C2–7 Cobb angle (<i>p</i> =0.012) and C2–7 SVA (<i>p</i> =0.028) were correlated with decreased CL in C-OPLL. Multiple linear regression analysis revealed that greater C2–7 SVA (<i>B</i> =0.22, <i>p</i> =0.026) and small DER (<i>B</i> =−0.53, <i>p</i> =0.002) were significantly associated with decreased CL in CSM. By contrast, greater C2–7 SVA (<i>B</i> =0.36, <i>p</i> =0.031) was significantly associated with decreased CL in C-OPLL. The JOA score significantly improved in both CSM and C-OPLL (<i>p</i> <0.001).Conclusions: C2–7 SVA was associated with a postoperative decreased CL in both CSM and C-OPLL, but DER was only associated with decreased CL in CSM. Risk factors for decreased CL slightly differed depending on the etiology of the condition.
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