Original Article

Comparison of Endoscopic, Radiological, and High-Resolution Manometry Findings with Endosonographic Findings in Patients with Dysphagia

Volume 36 · Issue 12 Publish Date: July 16, 2025
Aslıhan Bayır ORCID Elif Yorulmaz ORCID Deniz Öğütmen Koç ORCID Hatice Yorulmaz ORCID
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Turkish Journal of Gastroenterology

Volume 36 · Issue 12

Pages: 844-851

History

Published Online: July 16, 2025

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright © 2025 Aslıhan Bayır, Elif Yorulmaz, Deniz Öğütmen Koç, Hatice Yorulmaz

Aslıhan Bayır ORCID
Department of Internal Medicine, University of Health Sciences, Bağcılar Training and Research Hospital, Istanbul, Türkiye
Elif Yorulmaz ORCID
Department of Gastroenterology, University of Health Sciences, Bağcılar Training and Research Hospital, Istanbul, Türkiye
Deniz Öğütmen Koç ORCID
Department of Gastroenterology, University of Health Sciences, Gaziosmanpaşa Training and Research Hospital, Istanbul, Türkiye
Hatice Yorulmaz ORCID
Department of Physiology, Haliç University Faculty of Medicine, İstanbul, Türkiye
Bayır, A., Yorulmaz, E., Öğütmen Koç, D., & Yorulmaz, H. (2025). Comparison of Endoscopic, Radiological, and High-Resolution Manometry Findings with Endosonographic Findings in Patients with Dysphagia. Turkish Journal of Gastroenterology, 36(12), 844–851. https://doi.org/10.5152/tjg.2025.24573
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Abstract

Background/Aims: The aim of this study is to reveal the contribution and clinical usability of endosonography in the differential diagnosis of patients presenting with dysphagia.

Materials and Methods: The study included 77 patients with dysphagia. Age, gender, comorbidity, body mass index, history of radiotherapy and chemotherapy, history of trauma, and history of previous head and neck surgery were recorded from the patients’ files. Duration of dysphagia complaints and Eckardt scores were calculated. High-resolution manometry (HRM) and endosonographic ultrasonography (EUS) results were evaluated retrospectively.

Results: Of the patients included in the study, 41 were male and 36 were female. Endosonographic ultrasonography muscularis mucosa, EUS muscularis propria, and EUS total wall thickness values of achalasia patients were found to be higher than those of the healthy control group (P < .05). Eckardt scoring of achalasia patients with IRP (Integrated relaxation pressure) pressure below 20 mmHg was higher than those with integrated relaxation pressure (IRP) pressure above 20 mmHg (P < .05).

Conclusion: In the differential diagnosis of dysphagia, EUS contributed to the diagnosis of HRM in the detection of malignancy. In addition, EUS esophageal wall thicknesses of achalasia patients were found to be significantly higher than those of the healthy group. Manometric examination of patients with increased esophageal wall thickness in patients undergoing EUS in the differential diagnosisof upper gastrointestinal (GI) pathologies will be useful in terms of motility disorder.

 

Cite this article as: Bayır A, Yorulmaz E, Öğütmen Koç D, Yorulmaz H. Comparison of endoscopic, radiological, and high-resolution manometry findings with endosonographic findings in patients with dysphagia. Turk J Gastroenterol. 2025;36(12):844-851.

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Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 36 · Issue 12
Pages 844-851
DOI 10.5152/tjg.2025.24573
History
Published Online July 16, 2025
License
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright
Copyright (c) 2025 Aslıhan Bayır, Elif Yorulmaz, Deniz Öğütmen Koç, Hatice Yorulmaz
Affiliations
Aslıhan Bayır ORCID
Department of Internal Medicine, University of Health Sciences, Bağcılar Training and Research Hospital, Istanbul, Türkiye
Elif Yorulmaz ORCID
Department of Gastroenterology, University of Health Sciences, Bağcılar Training and Research Hospital, Istanbul, Türkiye
Deniz Öğütmen Koç ORCID
Department of Gastroenterology, University of Health Sciences, Gaziosmanpaşa Training and Research Hospital, Istanbul, Türkiye
Hatice Yorulmaz ORCID
Department of Physiology, Haliç University Faculty of Medicine, İstanbul, Türkiye
Cite this Article
Bayır, A., Yorulmaz, E., Öğütmen Koç, D., & Yorulmaz, H. (2025). Comparison of Endoscopic, Radiological, and High-Resolution Manometry Findings with Endosonographic Findings in Patients with Dysphagia. Turkish Journal of Gastroenterology, 36(12), 844–851. https://doi.org/10.5152/tjg.2025.24573
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