scholarly journals High‐resolution esophageal manometry in pediatrics: Effect of esophageal length on diagnostic measures

2019 ◽  
Vol 32 (1) ◽  
Author(s):  
Maartje M. J. Singendonk ◽  
Lara F. Ferris ◽  
Lisa McCall ◽  
Grace Seiboth ◽  
Katie Lowe ◽  
...  
Keyword(s):  
High Resolution ◽  
Esophageal Manometry ◽  
Diagnostic Measures ◽  
Esophageal Length

Vascular pressure bands on high-resolution esophageal manometry with impedance studies

2019 ◽  
Vol 33 (3) ◽  
Author(s):  
Steffen Lis ◽  
Herit Vachhani ◽  
Samuel Tanner ◽  
Andrew Leopold ◽  
Samantha Zitomer ◽  
...  
Keyword(s):  
High Resolution ◽  
Esophageal Manometry ◽  
Upright Position ◽  
Bolus Transit ◽  
Esophageal Transit ◽  
Normal Volunteers ◽  
Horizontal Pressure ◽  
Esophageal Length ◽  
Normal Controls

ABSTRACT Horizontal pressure bands on high-resolution esophageal manometry with impedance (HREMI) tracings are often seen and thought to be due to cardiovascular structures compressing the esophagus. The aim of this study was to determine the prevalence and location of vascular pressure bands on HREMI studies and correlate these pressure bands to bolus clearance. HREMI studies in supine and upright positions from patients and normal volunteers were reviewed. Pressure bands were defined as bands of horizontal pressure greater than the 20 mmHg isobaric contour. Each swallow was reviewed with impedance to determine if bolus transit was impaired by the band. 38.6% of 251 patients and 36.4% of 11 normal controls had a pressure band present. There were a greater number of bands in supine versus upright position (patients: 130 vs. 25, P < 0.001 and controls: 6 vs. 1). Patients with pressure bands had similar demographics (age, gender, BMI) compared to those without. Average distal contractile integral of bands was greater in supine compared to upright (133 ± 201 vs. 60 ± 148 mmHg cm s, P < 0.05). Bands were commonly located clustered at 46 and 72% of esophageal length. Bolus transit was impaired by bands in 20.4% of supine and 14.0% of upright swallows. Vascular pressure bands can have a prominent appearance on HREMI studies, present in, being more prevalent and having greater pressure in the supine than the upright position. These vascular bands, when present, may impair esophageal transit.

HIGH RESOLUTION ESOPHAGEAL MANOMETRY IN RUSSIAN FEDERATION. EXPERT CONSENSUS AND AGREED PROTOCOL OF CONCLUSION

2018 ◽  
Vol 158 (10) ◽  
pp. 4-9
Author(s):  
S.R. Abdulhakov ◽  
◽  
S.F. Bagnenko ◽  
D.S. Bordin ◽  
A.J. Bredenoord ◽  
...  
Keyword(s):  
High Resolution ◽  
Russian Federation ◽  
Esophageal Manometry ◽  
Expert Consensus

High-Resolution Esophageal Manometry in the Inpatient Setting: A Tertiary Referral Center Experience

2021 ◽  
pp. 263451612110351
Author(s):  
Catiele Antunes ◽  
Elinor Zhou ◽  
Jad Abimansour ◽  
Daniella Assis ◽  
Olaya I. Brewer Gutierrez ◽  
...  
Keyword(s):  
Retrospective Study ◽  
High Resolution ◽  
Esophageal Manometry ◽  
Outpatient Setting ◽  
Inpatient Setting ◽  
Tertiary Referral ◽  
Tertiary Referral Center ◽  
Additional Intervention ◽  
Lower Likelihood ◽  
Oral Diet

High-resolution esophageal manometry (HRM) is frequently used in the outpatient setting, but its role in the inpatient setting is unknown. We conducted a retrospective study of patients who underwent inpatient or outpatient HRM. Few differences were noted between groups and 28% of inpatients had an additional intervention. Tolerance of oral diet and diabetes were associated with a lower likelihood of additional intervention. Ultimately, the inpatient HRM group had unique characteristics and few subsequent interventions.

scholarly journals High-Resolution Esophageal Manometry: A Time Motion Study

2008 ◽  
Vol 22 (4) ◽  
pp. 365-368 ◽  
Author(s):  
Daniel C Sadowski ◽  
Linda Broenink
Keyword(s):  
High Resolution ◽  
Esophageal Manometry ◽  
Clinical Investigation ◽  
Study Quality ◽  
Procedure Time ◽  
High Resolution Manometry ◽  
Time Motion ◽  
Motion Study ◽  
Significant Difference ◽  
End Times

INTRODUCTION: High-resolution manometry (HRM) of the esophagus is a new technique that provides a more precise assessment of esophageal motility than conventional techniques. Because HRM measures pressure events along the entire length of the esophagus simultaneously, clinical procedure time should be shorter because less catheter manipulation is required. According to manufacturer advertising, the new HRM system is more accurate and up to 50% faster than conventional methods.OBJECTIVE: To test the hypothesis that clinical testing with HRM requires less procedural time than a standard water perfusion (WP) method.METHODS: Forty-one consecutive patients were studied (20 underwent WP and 21 underwent HRM). Using time-motion analysis, the start and end times for each task associated with performing the study were recorded. Patient discomfort and study quality were also assessed by using five- and four-point qualitative scales, respectively.RESULTS: Total procedure time was reduced on average by 25.6% in the HRM group (from 41.8 minutes with WP to 30.7 minutes with HRM, P<0.05). There was no significant difference in the discomfort scores reported by the study subjects and no difference in study quality.CONCLUSIONS: HRM requires less time to complete than conventional manometry and should therefore shorten the wait-times of patients scheduled for esophageal manometry and have a significant impact on the cost of performing this commonly used clinical investigation.

scholarly journals Tu1239 – Esophageal Hypervigilance and Visceral Anxiety are Major Contributors to Dysphagia Severity Among Patients Undergoing Evaluation with High-Resolution Esophageal Manometry

2019 ◽  
Vol 156 (6) ◽  
pp. S-999 ◽  
Author(s):  
Dustin Carlson ◽  
C. Prakash Gyawali ◽  
Sabine Roman ◽  
Marcelo F. Vela ◽  
Michael D. Crowell ◽  
...  
Keyword(s):  
High Resolution ◽  
Esophageal Manometry

scholarly journals Intraoperative high-resolution esophageal manometry during peroral endoscopic myotomy

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Maximilien Barret ◽  
Marie-Anne Guillaumot ◽  
Chloé Leandri ◽  
Sarah Leblanc ◽  
Romain Coriat ◽  
...  
Keyword(s):  
High Resolution ◽  
Esophageal Manometry ◽  
Peroral Endoscopic Myotomy ◽  
Endoscopic Myotomy
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