Abstract
Esophageal manometry is a test that measures the pressure events in the esophagus and at the two sphincters at each end at rest and in response to liquid and/or solid test swallows. Conventional line-tracing-based and high-resolution manometry systems that utilize spatiotemporal plots are clinically available. The main reason to obtain an esophageal manometry is evaluation of difficulty swallowing (dysphagia) for which a definitive diagnosis has not been achieved by endoscopy or radiographic studies. It is also used to definitely establish the diagnosis of achalasia and its subtypes, an esophageal motility disorder characterized by absent or abnormal esophageal contractions and failure of the lower esophageal sphincter to relax. A hierarchical algorithm (Chicago classification) is available for the interpretation of HRM studies and classification of motility disorders. Manometry is performed with a thin catheter passed through your nose into your esophagus that has multiple pressure sensors to measure contractions. It is usually an outpatient procedure that is generally very safe.
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References
Murray JA, Clouse RE, Conklin JL. Components of the standard oesophageal manometry. Neurogastroenterol Motil. 2003;15:591–606.
Goyal RK, Chaudhury A. Physiology of normal esophageal motility. J Clin Gastroenterol. 2008;42:610–9.
Gyawali CP, Patel A. Esophageal motor function: technical aspects of manometry. Gastrointest Endosc Clin N Am. 2014;24:527–43.
Gyawali CP, Bredenoord AJ, Conklin JL, Fox M, Pandolfino JE, Peters JH, Roman S, Staiano A, Vaezi MF. Evaluation of esophageal motor function in clinical practice. Neurogastroenterol Motil. 2013;25:99–133.
Clouse RE, Staiano A, Alrakawi A. Development of a topographic analysis system for manometric studies in the gastrointestinal tract. Gastrointest Endosc. 1998;48:395–401.
Bredenoord AJ, Fox M, Kahrilas PJ, Pandolfino JE, Schwizer W, Smout AJ. International high resolution Manometry working G: Chicago classification criteria of esophageal motility disorders defined in high resolution esophageal pressure topography. Neurogastroenterol Motil. 2012;24(Suppl 1):57–65.
Fox MR, Bredenoord AJ. Oesophageal high-resolution manometry: moving from research into clinical practice. Gut. 2008;57:405–23.
Roman S, Huot L, Zerbib F, Bruley des Varannes S, Gourcerol G, Coffin B, Ropert A, Roux A, Mion F. High-resolution Manometry improves the diagnosis of esophageal motility disorders in patients with dysphagia: a randomized multicenter study. Am J Gastroenterol. 2016;111:372–80.
Kahrilas PJ, Bredenoord AJ, Fox M, Gyawali CP, Roman S, Smout AJ, Pandolfino JE. International high resolution Manometry working G: the Chicago classification of esophageal motility disorders, v3.0. Neurogastroenterol Motil. 2015;27:160–74.
Bredenoord AJ, Weusten BL, Timmer R, Smout AJ. Intermittent spatial separation of diaphragm and lower esophageal sphincter favors acidic and weakly acidic reflux. Gastroenterology. 2006;130:334–40.
Conklin JL. Evaluation of esophageal motor function with high-resolution Manometry. J Neurogastroenterol Motil. 2013;19:281–94.
Rohof WO, Salvador R, Annese V, Bruley des Varannes S, Chaussade S, Costantini M, Elizalde JI, Gaudric M, Smout AJ, Tack J, Busch OR, Zaninotto G, Boeckxstaens GE. Outcomes of treatment for achalasia depend on manometric subtype. Gastroenterology. 2013;144:718–25. quiz e13–4
Hernandez JC, Ratuapli SK, Burdick GE, Dibaise JK, Crowell MD. Interrater and intrarater agreement of the chicago classification of achalasia subtypes using high-resolution esophageal manometry. Am J Gastroenterol. 2012;107:207–14.
Perez-Fernandez MT, Santander C, Marinero A, Burgos-Santamaria D, Chavarria-Herbozo C. Characterization and follow-up of esophagogastric junction outflow obstruction detected by high resolution manometry. Neurogastroenterol Motil. 2016;28:116–26.
van Hoeij FB, Smout AJ, Bredenoord AJ. Characterization of idiopathic esophagogastric junction outflow obstruction. Neurogastroenterol Motil. 2015;27:1310–6.
Roman S, Kahrilas PJ. Management of spastic disorders of the esophagus. Gastroenterol Clin N Am. 2013;42:27–43.
Rengarajan A, Drapekin J, Patel A, Gyawali CP. Comparison of two high-resolution manometry software systems in evaluating esophageal motor function. Neurogastroenterol Motil. 2016;28(12):1836–43.
Sweis R, Anggiansah A, Wong T, Kaufman E, Obrecht S, Fox M. Normative values and inter-observer agreement for liquid and solid bolus swallows in upright and supine positions as assessed by esophageal high-resolution manometry. Neurogastroenterol Motil. 2011;23:509–e198.
Roman S, Damon H, Pellissier PE, Mion F. Does body position modify the results of oesophageal high resolution manometry? Neurogastroenterol Motil. 2010;22:271–5.
Nativ-Zeltzer N, Logemann JA, Zecker SG, Kahrilas PJ. Pressure topography metrics for high-resolution pharyngeal-esophageal manofluorography – a normative study of younger and older adults. Neurogastroenterol Motil. 2016;28:721–31.
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Soffer, E., Shaker, A. (2018). Esophageal Manometry. In: Bardan, E., Shaker, R. (eds) Gastrointestinal Motility Disorders . Springer, Cham. https://doi.org/10.1007/978-3-319-59352-4_18
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DOI: https://doi.org/10.1007/978-3-319-59352-4_18
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