Intraoperative High Resolution Manometry for tailored Heller myotomy in esophageal achalasia: could it give better results?

2022 ◽  
Author(s):  
Gabriele Barletta
Keyword(s):  
High Resolution ◽  
Heller Myotomy ◽  
Esophageal Achalasia ◽  
High Resolution Manometry

Effects of laparoscopic myotomy on the esophageal motility pattern of esophageal achalasia as measured by high-resolution manometry

2016 ◽  
Vol 31 (9) ◽  
pp. 3510-3518 ◽  
Author(s):  
Renato Salvador ◽  
Edoardo Savarino ◽  
Elisa Pesenti ◽  
Lorenzo Spadotto ◽  
Guerrino Voltarel ◽  
...  
Keyword(s):  
High Resolution ◽  
Esophageal Motility ◽  
Esophageal Achalasia ◽  
Laparoscopic Myotomy ◽  
High Resolution Manometry ◽  
Motility Pattern

scholarly journals High-resolution esophageal manometry in patients with achalasia

2021 ◽  
Vol 180 (1) ◽  
pp. 45-53
Author(s):  
A. A. Smirnov ◽  
M. M. Kiriltseva ◽  
M. E. Luybchenko ◽  
L. I. Davletbaeva ◽  
A. V. Kochetkov
Keyword(s):  
High Resolution ◽  
Lower Esophageal Sphincter ◽  
Esophageal Manometry ◽  
Esophageal Achalasia ◽  
X Rays ◽  
High Resolution Manometry ◽  
Prospective Group ◽  
Unified View ◽  
Esophageal Sphincter ◽  
Integrated Relaxation Pressure

Introduction. At present, high-resolution esophageal manometry is the «gold standard» for the diagnosis of esophageal achalasia, based on the determination of the integrated relaxation pressure of the lower esophageal sphincter, the value of which in the case of achalasia must exceed 15 mm Hg (MMS System). However, in some patients with clinically and radiologically confirmed achalasia, this value is normal. There is no unified view of the cause of this phenomenon. We assumed that low pressure figures may be affected by incorrect installation of the manometric catheter.Methods and materials. This research included 149 patients (61 by retrospective estimating the patients data and 88 new patients) with achalasia established during the period from January 2017 to March 2020. When it was impossible to localize the lower esophageal sphincter and take correct measurements during high-resolution manometry in new patients, the X-rays or upper endoscopy was performed to control the manometric catheter placement. If its’ placement was incorrect and the integrated relaxation pressure level was lower than 15 mmHg, repeated high-resolution manometry was performed with the over-the-guidewire manometric catheter placing.Results. In 36 patients of both groups (24.2 %), the manometric data did not correspond to esophageal achalasia; in the prospective group, 12 out of the 19 patients had incorrect manometric data due to inability to visualize lower esophageal sphincter. In the prospective group, the manometric catheter was reinstalled by a guidewire, which allowed visualizing the signs of the lower esophageal sphincter in all cases, and in 15 out of 19 patients (79 %), the integrated relaxation pressure of the lower esophageal sphincter was more than 15 mm Hg.Conclusions. In some cases, the over-the-guidewire installing makes it possible to pass catheter through the lower esophageal sphincter correctly, visualize the lower esophageal sphincter during the high-resolution manometry examination and obtain true pressure values.

scholarly journals High-resolution manometry in the diagnosis and classification of achalasia in children

2020 ◽  
Vol 50 (1) ◽  
Author(s):  
Erick Toro-Monjaraz ◽  
Rubén Peña-Vélez ◽  
María José Carrillo-Quan ◽  
David Avelar-Rodríguez ◽  
Martha Cecilia Martínez-Soto ◽  
...  
Keyword(s):  
High Resolution ◽  
Pediatric Patients ◽  
Case Series ◽  
Esophageal Achalasia ◽  
Motor Disorder ◽  
High Resolution Manometry ◽  
Chicago Classification ◽  
Diagnosis And Classification ◽  
Esophageal Sphincter

Esophageal achalasia is a primary motor disorder that presents with dysphagia secondary to esophageal body dysfunction and functional obstruction of the lower esophageal sphincter. High-resolution manometry is considered the gold standard for the diagnosis of achalasia and, according to the Chicago classification v3.0; it can be further divided into three different subtypes based on the pressurization patterns. Herein, we present the case series of 6 pediatric patients in whom high-resolution manometry was performed for the diagnosis and classification of esophageal achalasia.

Su1885 Radiographic and Symptomatic Characteristics Among the 3 Subtypes of Esophageal Achalasia Defined by Chicago Classification With High-Resolution Manometry

2013 ◽  
Vol 144 (5) ◽  
pp. S-500
Author(s):  
Hiroko Hosaka ◽  
Akiyo Kawada ◽  
Shiko Kuribayashi ◽  
Yasuyuki Shimoyama ◽  
Masaki Maeda ◽  
...  
Keyword(s):  
High Resolution ◽  
Esophageal Achalasia ◽  
High Resolution Manometry ◽  
Chicago Classification

scholarly journals Achalasia symptom response after Heller myotomy segregated by high-resolution manometry subtypes

2015 ◽  
Vol 51 (2) ◽  
pp. 112-118 ◽  
Author(s):  
Amit Patel ◽  
Ami Patel ◽  
Faiz A. Mirza ◽  
Samad Soudagar ◽  
Gregory S. Sayuk ◽  
...  
Keyword(s):  
High Resolution ◽  
Heller Myotomy ◽  
High Resolution Manometry ◽  
Symptom Response

Dor Versus Toupet Fundoplication after Laparoscopic Heller Myotomy: Report from a 2 Years Randomized Trial Evaluated by High Resolution Manometry

2017 ◽  
Vol 152 (5) ◽  
pp. S1208
Author(s):  
Blanca A. Blancas Breña ◽  
Gonzalo Torres-Villalobos ◽  
Fernanda Romero-Hernández ◽  
Axel R. Palacios Ramirez ◽  
Enrique Coss-Adame ◽  
...  
Keyword(s):  
High Resolution ◽  
Randomized Trial ◽  
Heller Myotomy ◽  
Laparoscopic Heller Myotomy ◽  
Toupet Fundoplication ◽  
High Resolution Manometry

scholarly journals 216 – High Resolution Manometry Changes in Patients with Achalasia After Laparoscopic Heller Myotomy with Partial Fundoplication

2019 ◽  
Vol 156 (6) ◽  
pp. S-1387
Author(s):  
Emmanuel Contreras Jiménez ◽  
Enrique Coss-Adame ◽  
Miguel A. Valdovinos ◽  
Janette Furuzawa-Carballeda ◽  
Sofia Narvaez-Chavez ◽  
...  
Keyword(s):  
High Resolution ◽  
Heller Myotomy ◽  
Laparoscopic Heller Myotomy ◽  
Partial Fundoplication ◽  
High Resolution Manometry

Su1880 Achalasia Symptom Response After Heller Myotomy Segregated by Subtypes on High Resolution Manometry (HRM)

2013 ◽  
Vol 144 (5) ◽  
pp. S-499
Author(s):  
Faiz Mirza ◽  
Arun Mannem ◽  
A. Samad Soudagar ◽  
Gregory S. Sayuk ◽  
C. Prakash Gyawali
Keyword(s):  
High Resolution ◽  
Heller Myotomy ◽  
High Resolution Manometry ◽  
Symptom Response

Endoscopic treatment for persistent dysphagia after heller myotomy in a patient with spastic type of achalasia with the use of the intraoperative high-resolution manometry

2021 ◽  
Vol 179 (5) ◽  
pp. 41-46
Author(s):  
A. A. Smirnov ◽  
N. V. Konkina ◽  
M. M. Kiriltseva ◽  
M. E. Lyubchenko ◽  
L. I. Davletbaeva ◽  
...  
Keyword(s):  
High Resolution ◽  
Endoscopic Treatment ◽  
Heller Myotomy ◽  
Previous Treatment ◽  
Peroral Endoscopic Myotomy ◽  
Partial Fundoplication ◽  
High Resolution Manometry ◽  
Endoscopic Myotomy

A Peroral Endoscopic Myotomy was performed on the patient with the persistent dysphagia despite preceding Heller myotomy combined with partial fundoplication, relaparotomy, fundoplication wrap reconstruction, gastrostomy and left-sided thoracoscopy with the drainage of the thoracic abscess. The use of intraoperative High-Resolution Manometry during Endoscopic Peroral Myotomy helped to reveal the reasons for the failure of previous treatment and to address the dysphagia.

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