Esophageal Manometry and Gastroesophageal Reflux Monitoring
Manometry and gastroesophageal reflux (GER) monitoring are important tests in evaluation of patients suspected of having motility disorders and/or gastroesophageal reflux disease (GERD), but we do not recommend these as first choice investigations. If a functional, benign esophageal disease is suspected, a video-radiologic investigation based on physiological principles using bread-and-barium could often separate patients with normal manometry from patients with severe motility disorders, i.e., diffuse esophageal spasms (DES) and achalasia (Nellemann et al. 2000). Furthermore, this radiologic method could demonstrate GER in adults with a sensitivity of 52 % and a specificity of 100 %, thus reducing the number of patients referred to manometry and GER monitoring (Aksglæde et al. 1999).
KeywordsLower Esophageal Sphincter Esophageal Manometry Lower Esophageal Sphincter Pressure Reflux Episode Esophageal Motility Disorder
- Pandolfino JE, Gosh SK, Rice J, Clarke JO, Kwiatek MA, Kahrilas PJ (2008) Classifying esophageal motility by pressure topography characteristics: a study of 400 patients and 75 controls. Am J Gastroenterol 108:27–37Google Scholar