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ISRN Rheumatology
Volume 2011 (2011), Article ID 325826, 5 pages
http://dx.doi.org/10.5402/2011/325826
Clinical Study

Esophageal Involvement in Scleroderma: Clinical, Endoscopic, and Manometric Features

Department of Internal Medicine, Kouba Hospital, Algiers, Algeria

Received 12 May 2011; Accepted 6 July 2011

Academic Editor: A. M. Huber

Copyright © 2011 M. Lahcene et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aim. To evaluate characteristics of esophageal involvement in scleroderma. Methods. The study was prospective and concerned 194 patients with a definite systemic sclerosis. Gastroesophageal endoscopy and esophageal manometry were performed in all the cases. Results. Symptoms were present in 118 cases (60.8%); they were signs of GERD or dysphagia, respectively, in 94 (48.4%) and 91 patients (46.9%). Reflux esophagitis was found in 73 cases (37.6%); it was mild or moderate in 47 cases (24.2%) and severe or complicated in the remaining cases. Manometry revealed a lower esophageal sphincter incompetence and esophageal motor disorders, respectively, in 118 (60.8%) and 157 cases (80.9%). Presence of these late was not related to age, duration, or skin extension of the disease, but with clinical complaint and/or mucosal damage. Conclusion. Esophageal involvement is frequent during scleroderma. Manometry is the most sensible examination and could be a screening procedure.