ESOPHAGEAL MOTILITY DISORDERS IN PATIENTS WITH MITRAL VALVE PROLAPSE

Authors

Maaty, Hamouda, Departments of Internal Medicine and 'General Surgery Mansoura University Hospital, Mansoura
Nabil Gad EI-Hak, Departments of 'General Surgery Mansoura University Hospital, Mansoura
EI-Desoky M.E, Departments of General Surgery Mansoura University Hospital, Mansoura

Article Type

Original Study

Abstract

Background: The cause of chest discomfort in patients with primary mi­tral valve prolapse (MVP) remains un­known. Aim: our aim was to determine prospectively the incidence of esoph-ageal disorders and abnormal re­sponses to esophageal acid infusions in patients with primary MVP with and without chest pain, Patients and Methods: 28 patients with primary MVP diagnosed by echo-cardiography underwent esophageal motility study and provocative testing with acid infusion. Ten healthy sub­jects served as control group; they also underwent the same studies. Results: Esophageal manometry revealed esophageal disorders in 14 patients: diffuse esophageal spasm in 9 patients, hypotensive lower esopha­geal sphincter (LES) in 4, hyperten­sive LES in 3, nonspecific motor dis­orders in 2 and no patient with nutcracker esophagus. Acid infusion tests (Bernstein tests) evoked typical chest discomfort in 11 of 28; most of them were in group 111 with severe MVP, on the other hand, acid infusion test evoked chest discomfort in only one of 10 control subjects. Conclusion: Esophageal disorders were common and may account for chest discomfort in some patients with primary MVP and persistent chest pain syndromes.

Recommended Citation

Hamouda, Maaty,; Gad EI-Hak, Nabil; and M.E, EI-Desoky (2001) "ESOPHAGEAL MOTILITY DISORDERS IN PATIENTS WITH MITRAL VALVE PROLAPSE," Mansoura Medical Journal: Vol. 30 : Iss. 1 , Article 12.
Available at: https://doi.org/10.21608/mjmu.2001.127009

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.