High-resolution esophageal manometry: interpretation in clinical practice

被引:57
作者
Yadlapati, Rena [1 ]
机构
[1] Northwestern Univ, Div Gastroenterol & Hepatol, Feinberg Sch Med, 676 North St Clair St,Suite 1400, Chicago, IL 60611 USA
关键词
Chicago Classification; esophageal motility; impedance manometry; MULTIPLE RAPID SWALLOWS; ESOPHAGOGASTRIC JUNCTION; MOTILITY DISORDERS; PRESSURE TOPOGRAPHY; IMPEDANCE-MANOMETRY; CHICAGO CLASSIFICATION; NORMATIVE VALUES; MOTOR FUNCTION; DIAGNOSIS; PERISTALSIS;
D O I
10.1097/MOG.0000000000000369
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Purpose of reviewEsophageal high-resolution manometry (HRM) is the current state-of-the-art diagnostic tool to evaluate esophageal motility patterns and, as such, is widely adopted in clinical practice. This article will review the interpretation of esophageal HRM in clinical practice.Recent findingsHRM uses a high-resolution catheter to transmit intraluminal pressure data that are subsequently converted into dynamic esophageal pressure topography (EPT) plots. Metric data from EPT plots are synthesized to yield an esophageal motility diagnosis according to the Chicago Classification, a formal analytic scheme for esophageal motility disorders, which is currently in version 3.0. The standard HRM protocol consists of a baseline phase and a series of 10 wet swallows in the supine or reclined position. In addition, data from swallows in the seated position and provocative HRM maneuvers provide useful information about motility properties. Combined high-resolution impedance technology is also clinically available and enables concurrent assessment of bolus transit and postprandial responses. Finally, there is ongoing interest to optimize the training and competency assessment for interpretation of HRM in clinical practice.SummaryEsophageal HRM is a valuable and sophisticated clinical tool to evaluate esophageal motility patterns. Emerging clinical applications of esophageal HRM include combined impedance technology, provocative maneuvers, and postprandial evaluation.
引用
收藏
页码:301 / 309
页数:9
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