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THE VALUE OF ENDOSCOPY, BARIUM ESOPHAGRAM AND HIGH RESOLUTION MANOMETRY METHODS IN DIAGNOSIS OF ACHALASIA
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Abstract
A cross-sectional study was conducted in 148 patients with suspected achalasia from 9/2020 to 2/2023 in the Institute of Gastroenterology and Hepatology. The mean age was 41.5 ± 14, 37.9% of patients were male. The most common clinical symptoms were dysphagia (85.1%) and regurgitation (75.7%), the proportion of patients having Eckardt scores ≥6 was 60.0%. 140 out of 148 patients had a confỉrmed diagnosis of achalasia based on clinical symptoms combined with the diagnostic imaging methods (endoscopy/barium esophagram/high resolution manometry (HRM)). 81.8% of patients having achalasia findings in endoscopy with sensitivity of 82% but specificity was not high (57%). The sensitivity of HRM was higher than the conventional methods such as barium esophagram and upper gastrointestinal endoscopy (87% sensitivity, 100% specificity). The combination between diagnostic methods and clinical symptoms would improve the specificity of diagnosis.
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References
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