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Oesophageal and anorectal involvement in systemic sclerosis: a ă systematic assessment high resolution manometry

Author

Listed:
  • L. Luciano
  • B. Granel
  • E. Bernie
  • J. -R. Harle
  • K. Baumstarck

    (SPMC - Santé Publique et maladies Chroniques : Qualité de vie Concepts, Usages et Limites, Déterminants - AMU - Aix Marseille Université - APHM - Assistance Publique - Hôpitaux de Marseille)

  • J. -C. Grimaud
  • M. Bouvier
  • V. Vitton

    (Service De Gastroenterologie, Hôpital Nord, Assistance Publique-Hôpitaux de Marseille -)

Abstract

Objective. In systemic sclerosis (SSc), oesophageal and anorectal ă involvements are frequent and often associated with each other. In ă clinical practice, oesophageal explorations are often prescribed, while ă anorectal explorations are rarely proposed and therefore, ă under-recognised. However, it is well documented in the literature that ă early detection of anorectal dysfunction could delay and/or prevent the ă onset of symptoms such as fecal incontinence (FI). The main objective ă was the systematic evaluation and detection of oesophageal and anorectal ă involvements in SSc patients. ă Methods. In this monocentric retrospective study, all patients with SSc ă addressed in the Department of Functional Digestive Explorations, North ă Hospital, Marseille for oesophageal and anorectal explorations were ă included. Self-Questionnaires, evaluating the symptoms and quality of ă life, were filled by patients during their visit. Explorations were ă performed on the same day: high resolution oesophageal manometry (EHRM), ă 3 Dimensional high resolution anorectal manometry (3DHRARM) and endo ă anal sonography (EUS). ă Results. 44 patients (41 women), mean age 59.8 +/- 12 years, were ă included. With regard to the symptoms, 45.5% of patients had ă gastro-oesophageal reflux disease (GERD), 66.9% dysphagia, 65.9% ă constipation and 773% Fl. The incidence of oesophageal dismotility was ă 65.9%, anorectal and both upper and lower dysfunction were 43.2%. More ă than 89% patients with abnormal explorations (EHRM, 3DHRARM or both) ă were symptomatic. Duration of SSc and altered quality of life was ă correlated with the severity of digestive involvement. ă Conclusion. Anorectal dysfunction appears to be closely linked to ă oesophageal involvement in SSc. Their routine screening is undoubtedly ă essential to limit the occurrence of severe symptoms such as FI.

Suggested Citation

  • L. Luciano & B. Granel & E. Bernie & J. -R. Harle & K. Baumstarck & J. -C. Grimaud & M. Bouvier & V. Vitton, 2016. "Oesophageal and anorectal involvement in systemic sclerosis: a ă systematic assessment high resolution manometry," Post-Print hal-01482350, HAL.
  • Handle: RePEc:hal:journl:hal-01482350
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