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Esophageal Manometry

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Pediatric Neurogastroenterology

Abstract

Esophageal motility disorders can present with common symptoms such as feeding difficulties in early childhood and dysphagia or chest pain in adolescents. If motility disorders are suspected, high-resolution esophageal manometry (HRM) is now considered the gold standard diagnostic test, both in adults and children (Omari and Krishnan, J Paediatr Child Health 56(11):1754-1759, 2020; Gyawali and Penagini, Dig Liver Dis 53:1373, 2021). Additionally, even in the absence of a strictly defined esophageal motility disorder, HRM can be helpful to elucidate the origin of symptoms.

HRM records pressures throughout the esophagus with a large number closely spaced sensors between which pressures can reliably be interpolated. These data can be shown as a continuum of pressures using pressure topography (iso-contour) plots.

For adults, protocols have evolved for the performance, analysis, and clinical interpretation of an HRM test (Yadlapati et al. Neurogastroenterol Motil 33(1):e14058, 2021). In children, existent protocols need further validation in the clinical setting, but HRM has proven to be very useful in a number of settings (Rosen et al. Neurogastroenterol Motil 30, 2018).

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Authors and Affiliations

  1. Pediatric Gastroenterology and Nutrition, Emma Children’s Hospital, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands

    Michiel van Wijk

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  1. Michiel van Wijk
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Correspondence to Michiel van Wijk .

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Editors and Affiliations

  1. Division of Gastroenterology, Department of Pediatrics, Centre Hospitalier Universitaire Sainte-Justine, University of Montreal, Montreal, QC, Canada

    Christophe Faure

  2. Department of Gastroenterology, Hepatology and Liver Transplant, Queensland Children’s Hospital School of Medicine University of Queensland, Brisbane, QLD, Australia

    Nikhil Thapar

  3. Division of Pediatric Gastroenterology, Nationwide Children’s Hospital, Columbus, OH, USA

    Carlo Di Lorenzo

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van Wijk, M. (2022). Esophageal Manometry. In: Faure, C., Thapar, N., Di Lorenzo, C. (eds) Pediatric Neurogastroenterology. Springer, Cham. https://doi.org/10.1007/978-3-031-15229-0_10

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  • DOI: https://doi.org/10.1007/978-3-031-15229-0_10

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