Esophageal Manometry in Gastroesophageal Reflux Disease

Michael Mello; C. Prakash Gyawali

doi:10.1016/j.gtc.2013.11.005

Esophageal Manometry in Gastroesophageal Reflux Disease

Michael Mello, C. Prakash Gyawali

Division of Gastroenterology

Research output: Contribution to journal › Review article › peer-review

18 Scopus citations

Abstract

High-resolution manometry (HRM) allows nuanced evaluation of esophageal motor function, and more accurate evaluation of lower esophageal sphincter (LES) function, in comparison with conventional manometry. Pathophysiologic correlates of gastroesophageal reflux disease (GERD) and esophageal peristaltic performance are well addressed by this technique. HRM may alter the surgical decision by assessment of esophageal peristaltic function and exclusion of esophageal outflow obstruction before antireflux surgery. Provocative testing during HRM may assess esophageal smooth muscle peristaltic reserve and help predict the likelihood of transit symptoms following antireflux surgery. HRM represents a continuously evolving new technology that compliments the evaluation and management of GERD.

Original language	English
Pages (from-to)	69-87
Number of pages	19
Journal	Gastroenterology Clinics of North America
Volume	43
Issue number	1
DOIs	https://doi.org/10.1016/j.gtc.2013.11.005
State	Published - Mar 2014

Keywords

Esophageal hypomotility
High-resolution manometry
Hypotensive lower esophageal sphincter
Multiple rapid swallows
Preoperative testing

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abstract = "High-resolution manometry (HRM) allows nuanced evaluation of esophageal motor function, and more accurate evaluation of lower esophageal sphincter (LES) function, in comparison with conventional manometry. Pathophysiologic correlates of gastroesophageal reflux disease (GERD) and esophageal peristaltic performance are well addressed by this technique. HRM may alter the surgical decision by assessment of esophageal peristaltic function and exclusion of esophageal outflow obstruction before antireflux surgery. Provocative testing during HRM may assess esophageal smooth muscle peristaltic reserve and help predict the likelihood of transit symptoms following antireflux surgery. HRM represents a continuously evolving new technology that compliments the evaluation and management of GERD.",

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AU - Gyawali, C. Prakash

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AB - High-resolution manometry (HRM) allows nuanced evaluation of esophageal motor function, and more accurate evaluation of lower esophageal sphincter (LES) function, in comparison with conventional manometry. Pathophysiologic correlates of gastroesophageal reflux disease (GERD) and esophageal peristaltic performance are well addressed by this technique. HRM may alter the surgical decision by assessment of esophageal peristaltic function and exclusion of esophageal outflow obstruction before antireflux surgery. Provocative testing during HRM may assess esophageal smooth muscle peristaltic reserve and help predict the likelihood of transit symptoms following antireflux surgery. HRM represents a continuously evolving new technology that compliments the evaluation and management of GERD.

KW - Esophageal hypomotility

KW - High-resolution manometry

KW - Hypotensive lower esophageal sphincter

KW - Multiple rapid swallows

KW - Preoperative testing

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JO - Gastroenterology Clinics of North America

JF - Gastroenterology Clinics of North America

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Esophageal Manometry in Gastroesophageal Reflux Disease

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Keywords

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