作者
Tetsuya Tatsuta, Hiroki Sato, Yusuke Fujiyoshi, Hirofumi Abe, Akio Shiwaku, Junya Shiota, Chiaki Sato, Masaki Ominami, Yoshitaka Hata, Hisashi Fukuda, Ryo Ogawa, Jun Nakamura, Yuichiro Ikebuchi, Hiroshi Yokomichi, Shinsaku Fukuda, Haruhiro Inoue
发表日期
2022/10/10
期刊
Journal of Neurogastroenterology and Motility
卷号
28
期号
4
页码范围
562
出版商
The Korean Society of Neurogastroenterology and Motility
简介
Methods
We conducted a multicenter, large-scale database analysis. First, the diagnosis of treatment-naive achalasia in each HRM system was investigated. Next, patient characteristics were compared between type I-III achalasia, and the impact of patient characteristics, including calcium channel blocker and nitrite use for integrated relaxation pressure (IRP) values, were analyzed. Finally, patient characteristics with recurrent achalasia were elucidated.
Results
The frequency of type I achalasia with Starlet was significantly higher than that with ManoScan and Sandhill HRM systems. In achalasia, multivariate analysis identified male sex, advanced age, long disease duration, obesity, type I achalasia, and sigmoid type as risk factors related to normal IRP values (< 26 mmHg). Calcium channel blockers and nitrites use had no significant impact on the IRP values, although achalasia symptoms were indicated to be …
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T Tatsuta, H Sato, Y Fujiyoshi, H Abe, A Shiwaku… - Journal of Neurogastroenterology and Motility, 2022