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https://hdl.handle.net/2440/53450
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Type: | Journal article |
Title: | Age and gender affect likely manometric diagnosis: Audit of a tertiary referral hospital clinical esophageal manometry service |
Author: | Andrews, J. Heddle, R. Hebbard, G. Checklin, H. Besanko, L. Fraser, R. |
Citation: | Journal of Gastroenterology and Hepatology, 2009; 24(1):125-128 |
Publisher: | Blackwell Publishing Asia |
Issue Date: | 2009 |
ISSN: | 0815-9319 1440-1746 |
Statement of Responsibility: | Jane M Andrews, Richard Heddle, Geoffrey S Hebbard, Helen Checklin, Laura Besanko, Robert J Fraser |
Abstract: | Background and Aim: Awareness of patient demographics, common diagnoses and associations between these may improve the use and interpretation of manometric investigations. The aim of the present study therefore was to determine whether age and/or gender affect manometric diagnosis in a clinical motility service. Methods: An audit of all 452 clinical manometry reports issued from December 2003 to July 2005 with respect to age, gender and diagnosis was carried out. Patients were divided by age (17–24 years n = 14, 25–44 years n = 87, 45–64 years n = 216 and ≥65 years n = 135), and gender and data compared using contingency tables. Results: Women were more commonly referred overall (59%) and in each age bracket except <25 years (64% male). Men were more likely to have 'hypotensive' motor problems P = 0.01. With aging, normal motor function became less common (P = 0.013), with non-specific motor disorder, ineffective/hypotensive peristalsis and 'achalasia-like' conditions each more common (individual P = NS). Increasing age showed a trend for increased spastic motor disorders (P = 0.06). Gender did not, however, influence whether motility was abnormal (P = 0.5), spastic (P = 0.7) or whether a non-specific motor disorder was present (P = 0.1). In the total cohort, the principal manometric diagnoses were: non-specific motor disorder 33%, normal motility 29%, low basal lower esophageal sphincter pressure 18%, hypotensive/ineffective peristalsis 10%, achalasia/achalasia-like 6%, diffuse esophageal spasm 3% and other 1%. Conclusions: Aging leads to increasing esophageal motor abnormalities. Men and women have similar rates of dysfunction, although 'low-pressure problems' were more common in men. |
Keywords: | aging clinical manometry audit esophageal function gender manometry |
Rights: | Journal compilation © 2008 Blackwell Publishing Asia Pty Ltd and Journal of Gastroenterology and Hepatology Foundation |
DOI: | 10.1111/j.1440-1746.2008.05561.x |
Published version: | http://dx.doi.org/10.1111/j.1440-1746.2008.05561.x |
Appears in Collections: | Aurora harvest 5 Medicine publications |
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