진행성 전신경화증 환자에서 식도관련증상과 식도 운동성과의 상호관계 = Correlation of Esophageal Symptoms with Esophageal Motility in Patients with Progressive Systemic Sclerosis ( PSS )진행성 전신경화증 환자에서 식도관련증상과 식도 운동성과의 상호관계

다국어 초록 (Multilingual Abstract)

To investigate the correlation of esophageal symptoms w ith esophageal manometric parameters in patients with progressive systemic sclerosis (PSS) we tested esophageal motility in 10 patients with PSS who were admitted to Seoul National University Hospital from Feb. 1988 to Aug. 1988 and in 5 normal subjects, and we analyzed every parameters. The results were as follows: 1) 4 patients with esophageal symptoms showed marked decrease of lower esophageal sphincter pressure (LESP) (9.I+4.4 mmHg vs 27.9+8.5 mmHg; p< 0.005) while 6 patients having no esophageal symptoms showed normal LESP (29.4+4.0 mmHg vs 27.9+8.5 mmHg). 2) Normally propagating peristaltic waves were not found in the lower esophageal bodies of 4 patients who had esophagea] symptoms. On the other hand, among 6 patients without symptoms, 3 patients showed no propagating peristaltic waves while the other 3 patients showed normally propagating peristaltic waves in the lower esophagus. 3) The amplitudes of contraction waves at upper esophageal body of patients with esophageal symptoms were decreased compared with those of patients who had no esophageal symptom. (29.0+6.1 mmHg vs 21.0+4.4 mmHg; p<0.05) 4) In cases not showing normally propagating peristaltic waves, nonpropagating, hroad-based, low-amplitude contractions were found at the lower esophageal body. In conclusion, LESP is the esophageal manornetric parameter vhich seemed to be the most closely correlated with esophagea) symptoms in patients with PSS. And PSS seems to influence the upper esophageal contraction. Our data also indicates that esophageal manometry may be useful in the early detection of esophageal involvement in patients with PSS.