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Erroneous Diagnosis of Gastroesophageal Reflux Disease in Achalasia
Boudewijn F. Kessing, Albert J. Bredenoord, André J.P.M. Smout Clinical Gastroenterology and Hepatology Volume 9, Issue 12, Pages (December 2011) DOI: /j.cgh Copyright © 2011 AGA Institute Terms and Conditions
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Figure 1 Fragment of 24-hour pH measurement in a patient with achalasia. Stasis of food with acidic contents is responsible for a long episode with pH <4. Clinical Gastroenterology and Hepatology 2011 9, DOI: ( /j.cgh ) Copyright © 2011 AGA Institute Terms and Conditions
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Figure 2 Impedance tracing measured in a normal subject and an achalasia patient. The impedance tracings in the achalasia patients are characterized by low distal baseline impedance levels. Clinical Gastroenterology and Hepatology 2011 9, DOI: ( /j.cgh ) Copyright © 2011 AGA Institute Terms and Conditions
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Figure 3 Classic achalasia, which is identified by absent LES relaxation and absent peristalsis as measured by conventional manometry. Clinical Gastroenterology and Hepatology 2011 9, DOI: ( /j.cgh ) Copyright © 2011 AGA Institute Terms and Conditions
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Figure 4 High-resolution manometry plot of classic achalasia, which is identified by the absence of LES relaxation and no peristaltic contractions of the esophagus after the onset of a swallow. Clinical Gastroenterology and Hepatology 2011 9, DOI: ( /j.cgh ) Copyright © 2011 AGA Institute Terms and Conditions
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