PSYCHOSOMATIC ASPECTS OF DIAGNOSIS AND TR EATMENT OF ESOPHAGEAL NEUROMUSCULAR DISEASES

Citation
Af. Chernousov et al., PSYCHOSOMATIC ASPECTS OF DIAGNOSIS AND TR EATMENT OF ESOPHAGEAL NEUROMUSCULAR DISEASES, Hirurgia, (4), 1993, pp. 20-25
Citations number
NO
Categorie Soggetti
Surgery
Journal title
ISSN journal
00231207
Issue
4
Year of publication
1993
Pages
20 - 25
Database
ISI
SICI code
0023-1207(1993):4<20:PAODAT>2.0.ZU;2-A
Abstract
The authors examined a group of 42 patients with neuromuscular disease s of the esophagus. They distinguished a group of patients who were no t treated previously, a group with recurrent neuromuscular diseases of the esophagus in high tonues of the cardia, and a group of patients w ith a recurrence in normal or low tonus of the cardia. All patients un derwent roentgenoscopy of the esophagus and stomach, esophagogastrosco py, and esophagomanometry, as well as clinicopsycho-diagnostic examina tion. Polymorphism of psychic reactions with predominance of anxiety a nd depression was revealed in the group of untreated patients, tendenc y to develop static forms of psychic and somatic responses and mild ex citability were encountered in the group of patients with a recurrence in increased cardiac tonus. In patients with a recurrence in low tonu s of physiological cardia the condition was determined by hystero-hypo chondriac, alarming-depressive disorders. Clinocopsycho-diagnostic exa mination made it possible to develop averaged schemes of psychotropic therapy according to the groups of patients.