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Revista Cubana de Medicina

On-line version ISSN 1561-302X

Abstract

CHICO CAPOTE, Araceli et al. Scleroderma and Esophageal Alterations Documented by Manometry. Rev. Cuban de Med [online]. 2023, vol.62, n.4  Epub Dec 01, 2023. ISSN 1561-302X.

Introduction:

Gastrointestinal manifestations, and especially esophageal dysfunction, are common in patients diagnosed with systemic sclerosis.

Objectives:

To determine the manometric findings in the esophagus of patients with systemic sclerosis.

Methods:

A descriptive cross-sectional study was carried out on 86 patients with a diagnosis of systemic sclerosis who were treated in the Rheumatology Service of Hermanos Ameijeiras Hospital from January 2020 to December 2021.

Results:

The mean age was 49.5 ± 15.3 years, (94.3%) in females. 90.7% had esophageal motility disorders, mainly major disorders (58.1%) and 62.8% had short esophageal sphincter. The presence of symptoms such as regurgitation, heartburn and dysphagia were significantly related to most manometric parameters. Similarly, the duration of the disease (10.1 ± 9.1 versus 5.9 ± 5.9 years), Raynaud's phenomenon (93.9% versus 25.0%) and sclerosis diffuse systemic (96.2% vs. 82.4%) were significantly higher in patients with esophageal motility disorders. Age and sex did not show significant association with manometric alterations.

Conclusions:

It is concluded that patients with diffuse systemic sclerosis, Raynaud's phenomenon, based on the presence of symptoms, and the evolution of the disease, have high probability of suffering from esophageal motility disorders.

Keywords : scleroderma; manometry; esophageal disorders.

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