Journal article
An Improved Method of Assessing Esophageal Emptying Using the Timed Barium Study Following Surgical Myotomy for Achalasia
Journal of gastrointestinal surgery, v 13(1), pp 14-18
01 Jan 2009
PMID: 18949523
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The timed barium study (TBS) is used to assess esophageal emptying in patients with achalasia. Improvement in emptying correlates with outcome after endoscopic therapy, but the results of the TBS have been variable after myotomy. Our aim was to evaluate a new method for assessing improvement in emptying after myotomy.
A TBS was performed before and 3-6 months after myotomy in 30 patients. Emptying was assessed by measuring the percent difference in area of the barium column on films obtained 1 and 5 min after ingesting 150 ml of barium. Initial esophageal clearance was also assessed by comparing the area of the barium column on 1-min images obtained before and after therapy. Both measures were compared to clinical outcome.
After myotomy, 21 patients (70%) had no symptoms, four (13%) had mild, and five (17%) had moderate/severe symptoms. Using the standard method, esophageal emptying before and after surgery were not significantly different (25% vs. 37%; p = 0.22) and did not correlate with clinical outcome. In contrast, initial esophageal clearance improved significantly (median 81%) and correlated with clinical outcome.
Esophageal emptying measured by the standard method is not useful to assess outcome after myotomy. However, initial esophageal clearance correlates well with clinical outcome.
Metrics
Details
- Title
- An Improved Method of Assessing Esophageal Emptying Using the Timed Barium Study Following Surgical Myotomy for Achalasia
- Creators
- Arzu Oezcelik - University of Southern CaliforniaJeffrey A. Hagen - University of Southern CaliforniaJames M. Halls - University of Southern CaliforniaJessica M. Leers - University of Southern CaliforniaEmmanuele Abate - University of Southern CaliforniaShahin Ayazi - University of Southern CaliforniaJoerg Zehetner - University of Southern CaliforniaSteven R. DeMeester - University of Southern CaliforniaFarzaneh Banki - University of Southern CaliforniaJohn C. Lipham - University of Southern CaliforniaTom R. DeMeester - University of Southern California
- Publication Details
- Journal of gastrointestinal surgery, v 13(1), pp 14-18
- Publisher
- Springer Nature
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000261952600006
- Scopus ID
- 2-s2.0-57849111263
- Other Identifier
- 991022048374604721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Gastroenterology & Hepatology
- Surgery