A Positive Correlation Between Gastric and Esophageal Dysmotility Suggests Common Causality

Overview

Journal Dig Dis Sci

Specialty Gastroenterology

Date 2018 Jun 28

PMID 29946871

Citations 7

Authors

Thomas A Zikos

John O Clarke

George Triadafilopoulos

Kirsten A Regalia

Irene S Sonu

Nielsen Q Fernandez-Becker

Monica C Nandwani

Linda A Nguyen

Affiliations

Soon will be listed here.

Abstract

Background: Gastric and esophageal dysmotility syndromes are some of the most common motility diagnoses, but little is known about their interrelationship.

Aims: The aim of our study was to determine if a correlation exists between gastric and esophageal dysmotility syndromes.

Methods: We reviewed the records of all patients who underwent both solid gastric emptying scintigraphy (GES) and high-resolution esophageal manometry (HRM) within a 2 year period, with both done between August 2012 and August 2017. All GESs were classified as either rapid, normal, or delayed. All HRMs were classified according to the Chicago Classification 3.0. Correlations were assessed using Fisher's exact test and multiple logistic regression.

Results: In total, 482 patients met inclusion criteria. Of patients with a normal, delayed, and rapid GES, 53.1, 64.5, and 77.3% had an abnormal HRM, respectively (p < 0.05 vs. normal GES). Likewise, patients with an abnormal HRM were more likely to have an abnormal GES (54.9 vs. 41.8%, p = 0.005). Multiple logistic regression showed abnormal GES [odds ratio (OR) 2.14], age (OR 1.013), scleroderma (OR 6.29), and dysphagia (OR 2.63) were independent predictors of an abnormal HRM. Likewise, an abnormal HRM (OR 2.11), diabetes (OR 1.85), heart or lung transplantation (OR 2.61), and autonomic dysfunction (OR 2.37) were independent predictors of an abnormal GES.

Conclusions: The correlation between an abnormal GES and HRM argues for common pathogenic mechanisms of these motility disorders, and possibly common future treatment options. Clinicians should have a high index of suspicion for another motility disorder if one is present.

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