TY - JOUR T1 - Esophageal motility patterns are altered in older adult patients JO - Revista de Gastroenterología de México T2 - AU - Kunen,L.C.B. AU - Fontes,L.H.S. AU - Moraes-Filho,J.P. AU - Assirati,F.S. AU - Navarro-Rodriguez,T. SN - 2255534X M3 - 10.1016/j.rgmxen.2019.07.006 DO - 10.1016/j.rgmxen.2019.07.006 UR - http://revistagastroenterologiamexico.org/en-esophageal-motility-patterns-are-altered-articulo-S2255534X20300396 AB - Introduction and aimsSince the 1960s, several studies have shown the effect of aging on esophageal motility, with inconsistent results.The aim of the present study was to evaluate the manometric results in older adult patients (≥ 60 years of age) with an esophageal disorder and compare them with adults under 60 years of age. Materials and methodsA cross-sectional, retrospective study was conducted that included a sample of 1,175 patients (936 older adults and 239 non-older adults). The patients were evaluated and compared with respect to (i) sex, (ii) main complaint for which esophageal manometry was indicated, (iii) comorbidities, (iv) current medications, (v) smoking, and (vi) manometry results. ResultsPatient age ranged from 19 to 92 years (women made up 76.5% of the older adults and 72.8% of the non-older adults). Normal lower esophageal sphincter relaxation and normal peristalsis were more frequent in the non-older patient group (91.1% vs. 84.8% and 87.4% vs. 76%, respectively). The manometry results for the non-older adults vs. the older adults, respectively, were: achalasia (2.9% vs. 5.9%); hypercontractile disorder (9.2% vs. 10.4%); hypocontractile disorder (38.5% vs. 47.6%); and normal values (49.4% vs. 36.1%). After excluding the variables that could change esophageal motility, the results revealed significant differences between the two study groups. ConclusionsEsophageal manometry demonstrated statistically significant differences between the older adult and non-older adult study population evaluated. ER -