Alteraciones funcionales de la conjunción gastroesofágica en la escoliosis

Since the possible functional alterations of the gastroesophagealjunction that are frecuent in scoliosis are not well known, Radiologicstudies of the gastroesophageal passageway, esophagealmanometric studies, and C. T. Scan Studies were perfomed in threegroups of scoliotic patients and in one control group in order todetermine the possible origin of the alterations, their incidence andthe relationship with the characteristics of the scoliotic curve, andthe modifications produced after surgical correction.Functional disorders of the gastroesophageal junction occur in27% of the-96 young patients with scoliosis compared to 0% in thecontrol group of 25 young individuals. The statiscal study of the most significant variables demonstrated a greater incidence ofthese gastroesophageal alterations in thoracic scoliosis that affectedthe vertebral segment T7-T12 and when the Angle of Cobb waslarger.In a group of 24 scoliotic patients, the surgical correction of t hescoliosis eliminated the GER (gastroesophageal Reflux) in 7 cases,without modifying the parametres of the manometric study.In the C. T. Scan study, a group of 25 scoliotic patients showedan important distortion in the diaphragmatic crura, but no relationshipwas found between this and the degree of vertebralrotation nor with the digestive alterations which have been studied.

Since the possible functional alterations of the gastroesophagealjunction that are frecuent in scoliosis are not well known, Radiologicstudies of the gastroesophageal passageway, esophagealmanometric studies, and C. T. Scan Studies were perfomed in threegroups of scoliotic patients and in one control group in order todetermine the possible origin of the alterations, their incidence andthe relationship with the characteristics of the scoliotic curve, andthe modifications produced after surgical correction.Functional disorders of the gastroesophageal junction occur in27% of the-96 young patients with scoliosis compared to 0% in thecontrol group of 25 young individuals. The statiscal study of the most significant variables demonstrated a greater incidence ofthese gastroesophageal alterations in thoracic scoliosis that affectedthe vertebral segment T7-T12 and when the Angle of Cobb waslarger.In a group of 24 scoliotic patients, the surgical correction of t hescoliosis eliminated the GER (gastroesophageal Reflux) in 7 cases,without modifying the parametres of the manometric study.In the C. T. Scan study, a group of 25 scoliotic patients showedan important distortion in the diaphragmatic crura, but no relationshipwas found between this and the degree of vertebralrotation nor with the digestive alterations which have been studied.