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Background: Esophageal motility abnormalities have been observed in patients w ith gastroesophageal reflux disease. Goals:The aim of the present study was to d etermine if esophageal motor disorders in patients with a positive response to t he omeprazole test are related to the existence of reflux or they are concomitan t findings. Study: A 24-hour pH monitoring and a stationary manometry were perf ormed on 128 patients: 49 of them had normal manometry, 31 hypotensive lower eso phageal sphincter, 29 motor disorder in esophageal body, and 19 hypotensive lowe r esophageal sphincter and motor disorder in esophageal body. Results: We found an association between the presence of abnormal reflux and motor disorder in eso phageal body (χ2 test; P< 0.05). However, ineffective esophageal motility was t he disorder most strongly related to reflux, where as the hypercontractile disor ders were not clearly attrib- uted to it. Conclusions: Esophageal manometric abnor- malities should be considered cautiously before considering a motor disorder a s a consequence of abnormal reflux.
Background: Esophageal motility abnormalities have been observed in patients w ith gastroesophageal reflux disease. Goals: The aim of the present study was to d etermine if esophageal motor disorders in patients with a positive response to t omeprazole test are related to the existence of reflux Study: A 24-hour pH monitoring and a stationary manometry were perf or on 128 patients: 49 of them had normal manometry, 31 hypotensive lower eso phageal sphincter, 29 motor disorder in esophageal body, and 19 hypotensive lowe r esophageal sphincter and motor disorder in esophageal body. Results: We found an association between the presence of abnormal reflux and motor disorder in eso phageal body (χ2 test; P <0.05). However, ineffective esophageal motility was t he disorder most strongly related to reflux, where as the hypercontractile disor ders were not clearly attrib- uted to it. Conclusions: Esophageal manometric abnor- malities should be considered cautiously before considering a motor disorder a s consequence of abnormal reflux.