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High-Resolution Esophageal Manometry: Principles, Technique, and Interpretation

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Evaluation of Gastrointestinal Motility and its Disorders

Abstract

There are many upper and lower gastrointestinal (GI) disorders in which either the cause or the result is abnormal motility. Naturally, the study of motor functions of the gut in normal and abnormal conditions is of great help in understanding the pathophysiology and management of these disorders. Motor functions of the GI tract can be assessed by a variety of recording techniques including radiology, scintigraphy, manometry, and most recently intraluminal electrical impedance monitoring. In many instances the techniques are complementary to each other. However, manometry is the most reliable and reproducible method of studying motor functions of the esophagus. In this chapter we will elaborate principles, technique, and interpretation of esophageal manometry.

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References

  1. Dodds WJ, Stef JJ, Hogan WJ. Factors determining pressure measurement accuracy by intraluminal esophageal manometry. Gastroenterology. 1976;70(1):117–23.

    CAS  PubMed  Google Scholar 

  2. Arndorfer RC, Stef JJ, Dodds WJ, Linehan JH, Hogan WJ. Improved infusion system for intraluminal esophageal manometry. Gastroenterology. 1977;73(1):23–7.

    CAS  PubMed  Google Scholar 

  3. Pandolfino JE, Kahrilas PJ. American Gastroenterological Association. AGA technical review on the clinical use of esophageal manometry. Gastroenterology. 2005;128(1):209–24.

    Article  PubMed  Google Scholar 

  4. Clouse RE, Staiano A, Alrakawi A. Development of a topographic analysis system for manometric studies in the gastrointestinal tract. Gastrointest Endosc. 1998;48(4):395–401.

    Article  CAS  PubMed  Google Scholar 

  5. Bredenoord AJ, Hebbard GS. Technical aspects of clinical high-resolution manometry studies. Neurogastroenterol Motil. 2012;24 Suppl 1:5–10.

    Article  PubMed  Google Scholar 

  6. Bredenoord AJ, Fox M, Kahrilas PJ, Pandolfino JE, Schwizer W, Smout AJ, et al. Chicago classification criteria of esophageal motility disorders defined in high resolution esophageal pressure topography. Neurogastroenterol Motil. 2012;24 Suppl 1:57–65.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Xiao Y, Read A, Nicodème F, Roman S, Kahrilas PJ, Pandolfino JE. The effect of a sitting vs supine posture on normative esophageal pressure topography metrics and Chicago Classification diagnosis of esophageal motility disorders. Neurogastroenterol Motil. 2012;24(10):e509–16.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Basseri B, Pimentel M, Shaye OA, Low K, Soffer EE, Conklin JL. Apple sauce improves detection of esophageal motor dysfunction during high-resolution manometry evaluation of dysphagia. Dig Dis Sci. 2011;56(6):1723–8.

    Article  PubMed  Google Scholar 

  9. Bogte A, Bredenoord AJ, Oors J, Siersema PD, Smout AJ. Normal values for esophageal high-resolution manometry. Neurogastroenterol Motil. 2013;25(9):762–e579.

    Article  CAS  PubMed  Google Scholar 

  10. Kahrilas PJ, Peters JH. Evaluation of the esophagogastric junction using high resolution manometry and esophageal pressure topography. Neurogastroenterol Motil. 2012;24:11–9.

    Article  PubMed  Google Scholar 

  11. Lin Z, Roman S, Pandolfino JE, Kahrilas PJ. Automated calculation of the distal contractile integral in esophageal pressure topography with a region-growing algorithm. Neurogastroenterol Motil. 2012;24(1):e4–10.

    Article  CAS  PubMed  Google Scholar 

  12. Lin Z, Pandolfino JE, Xiao Y, Carlson D, Bidari K, Escobar G, et al. Localizing the contractile deceleration point (CDP) in patients with abnormal esophageal pressure topography. Neurogastroenterol Motil. 2012;24(10):972–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Roman S, Pandolfino JE, Chen J, Boris L, Luger D, Kahrilas PJ. Phenotypes and clinical context of hypercontractility in high-resolution esophageal pressure topography (EPT). Am J Gastroenterol. 2012;107(1):37–45.

    Article  PubMed  Google Scholar 

  14. Diamant NE. Physiology of esophageal motor function. Gastroenterol Clin North Am. 1989;18(2):179–94.

    CAS  PubMed  Google Scholar 

  15. Xiao Y, Kahrilas PJ, Kwasny MJ, Roman S, Lin Z, Nicodème F, et al. High-resolution manometry correlates of ineffective esophageal motility. Am J Gastroenterol. 2012;107(11):1647–54.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Conklin JL. Evaluation of esophageal motor function with high-resolution manometry. J Neurogastroenterol Motil. 2013;19(3):281–94.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Agrawal A, Tutuian R, Hila A, Freeman J, Castell DO. Identification of hiatal hernia by esophageal manometry: is it reliable? Dis Esophagus. 2005;18(5):316–9.

    Article  CAS  PubMed  Google Scholar 

  18. Pandolfino JE, Kwiatek MA, Nealis T, Bulsiewicz W, Post J, Kahrilas PJ. Achalasia: a new clinically relevant classification by high-resolution manometry. Gastroenterology. 2008;135(5):1526–33.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Saleh CM, Bredenoord AJ. Utilization of esophageal function testing for the diagnosis of the rumination syndrome and belching disorders. Gastrointest Endosc Clin N Am. 2014;24(4):633–42.

    Article  PubMed  Google Scholar 

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Correspondence to Uday C. Ghoshal MD, DNB, DM, FACG, RFF .

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Verma, A., Misra, A., Ghoshal, U.C. (2016). High-Resolution Esophageal Manometry: Principles, Technique, and Interpretation. In: Ghoshal, U. (eds) Evaluation of Gastrointestinal Motility and its Disorders. Springer, New Delhi. https://doi.org/10.1007/978-81-322-0822-8_2

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  • DOI: https://doi.org/10.1007/978-81-322-0822-8_2

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  • Publisher Name: Springer, New Delhi

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