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Purpose: Evaluate anatomical and functional changes of the esophageal stump and gastric fundus of patients with advanced megaesophagus, submitted to laparoscopic subtotal esophagectomy.

Methods: Twenty patients with advanced megaesophagus, previously submitted to a videolaparoscopic subtotal esophagectomy, were evaluated. Were conducted: radiological evaluation of the stump esophagus with transposed stomach, electromanometric, endoscopic examination and histopathology of the esophageal stump and gastric fundus, without making gastric tube or pyloroplasty.

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Introduction: The esophagus and colons of patients with acute Chagas disease were studied.

Methods: Deglutition and radiological examination of the esophagus were assessed in 94 (90.4%) patients, 10 children were excluded due to their age.

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[Electromanometry of the upper esophageal sphincter before and after esophageal perfusion with hydrochloric acid 0,1N. Experimental study in dog].

Arq Gastroenterol

June 2002

Departamento de Oftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista-UNESP, Distrito de Rubião Júnior s/n-18618-000-Botucatu, SP.

Background: The responses of the upper esophageal sphincter to gastroesophageal reflux is controversial.

Objective: Study the effect of upper esophageal sphincter to the esophageal acid perfusion.

Methods: Thirty adult dogs of both sexes were studied, being submitted to esophageal electromanometry.

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Background: Fecal incontinence, with or without persistent constipation is often underestimated in children affected by spina bifida. Medullar lesions to the L-S metameres result in a slowing of rectal and/or rectal-sigmoid motility, loss of anal or rectal sensation, deranged external anal sphincter function, altered motility of the anal levator muscles, and loss of motor coordination of the internal sphincter. We conducted an electromyographic and electromanometric evaluation of the anorectal tract in a group of children affected by myelomeningocele (MMC) in an attempt to evaluate the degree of functional damage and to provide appropriate treatment.

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The usefulness of ileocolic sphincter (ICS) transplantation to the neck after a total laryngopharyngectomy was investigated in 12 mongrel dogs. The authors aimed to evaluate the influence of the transplantation on ICS pressure amplitude and ICS length, and on ICS resistance to intracecal pressure increase. Electromanometric measurements showed that ICS pressure amplitude and length presented no changes after the procedure.

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