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J Korean Soc Laryngol Phoniatr Logop > Volume 26(2); 2015 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2015;26(2): 127-129.
인두 이물감을 호소하는 환자에서 식도 내 공기에 대한 연구
심예지, 남동우, 김보해, 진영주, 유윤종, 김민수, 정은재, 권성근, 하정훈, 권택균
서울대학교 의과대학 이비인후-두경부외과학교실, 암 연구소
Esophageal Air in Patients with Globus Pharyngeus
Ye Ji Shim, Dongwoo Nam, Bo Hae Kim, Young Ju Jin, Yoon-Jong Ryu, Min-Su Kim, Eun-Jae Chung, Seong Keun Kwon, J Hun Hah, Tack-Kyun Kwon
Department of Otorhinolaryngology-Head and Neck Surgery and Cancer Research Institute, Seoul National University College of Medicine
Background and Objectives : The etiology of globus pharyngeus remains uncertain. It has been known there is a relationship between the presence of air bubbles in esophagus and GERD symptoms. The aim of this study is to identify relationship between the globus symptom and the presence of air column in esophagus. Subjects and Methods : The study population consisted of 46 patients who underwent CT scan as part of evaluation for globus. Controls were chosen from the population consisted of patients with lymphadenopathy who underwent CT scan. The correlation between the presence of globus symptom and diameter, volume, and position of the air column was assessed using t-test. Reproducibility of diameter and volume of the esophageal air column was analyzed using intraclass correlation coefficient. Results : In study group, the mean volume of the air column was $769.56{pm}983.08mm^3$, the mean diameter was $8.24{pm}4.90mm$, the mean distance from the inferior border of posterior lamina of cricoid cartilage was $88.86{pm}28.01mm$. In control group, $682.18{pm}767.28mm^3$, $8.37{pm}5.50mm$, $88.34{pm}21.06mm$, respectively. There were no differences of diameter, volume and distance of the air column between the two groups. We failed to obtain acceptable reliability when we compare the diameter and the volume of the esophageal air column. Conclusion : There was no relationship between air column of esophagus and presence of globus symptom. And the measurement of diameter and volume of the esophageal air column change over time and it should be considered in a further study.
KEY WORDS: Globus hystericus;Esophagus;Radiographic anatomy;
중심 단어: 히스테리구;식도;방사선 해부학;
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