PS01.019: BARIUM FLUOROSCOPY AS A GOOD DIAGNOSTIC MODALITY FOR THE PATIENTS WITH LATE DIAGNOSIS OF ESOPHAGEAL ACHALASIA. (14th September 2018)

• Record Type: Journal Article
• Authors: Nakano, Toru; Koseki, Ken; Shibata, Chikashi; Kamei, Takashi; Ishii, Tadashi
• Is Part Of: Diseases of the esophagus. Volume 31(2018)Supplement 1
• Page Start: 55
• Page End: 55
• Publication Date: 2018-09-14
• Subjects: achalasia -- barium study -- endoscopy -- Computed tomography; Esophagus -- Diseases -- Periodicals; 616.32
• DOI: 10.1093/dote/doy089.PS01.019
• Languages: English
• ISSNs: 1120-8694

Abstract

Abstract: Background: Achalasia is a relatively rare disorder and the diagnosis would be delayed or mistaken as eating disorders like as anorexia nervosa. This study aimed to assess the diagnostic modalities to find the potential achalasia with delayed diagnosis. Methods: Thirty-eight patients of achalasia presented to Tohoku University Hospital during 2006 to 2015 were retrospectively analyzed based on the medical records. Twenty-three patients that took less than 6 months to diagnosis (group A); 15 patients that took more than 6 months (group B) were evaluated in the duration for diagnosis, modalities and their clinical findings. Results: No patients of group B and 16 of 21 patients of group A underwent barium study in the first 6 months after visiting to their physician ( P = 0.0001). During the subsequent clinical coarse after 6 months from first visit to physician, 13 cases and 8 cases of group B were diagnosed by barium study and by endoscopic examination, respectively. Conclusion: No obstructive finding of gastrointestinal endoscopy is insufficient to deny the possibility of achalasia. It is useful for patients with eating disorders due to unknown origin should be considered to perform the barium study to make potential achalasia apparent. Disclosure: All authors have declared no conflicts of interest.