scholarly journals The inability to belch syndrome: A study using concurrent high‐resolution manometry and impedance monitoring

2021 ◽  
Author(s):  
Renske A.B. Oude Nijhuis ◽  
Jurjaan A. Snelleman ◽  
Jac M. Oors ◽  
Boudewijn F. Kessing ◽  
Derrek A. Heuveling ◽  
...  
Keyword(s):  
High Resolution ◽  
High Resolution Manometry ◽  
Impedance Monitoring

Sa1359 Gastric Belching and Supragastric Belching are Two Distinct Pathophysiological Entities: A Study Using Combined High-Resolution Manometry and Impedance Monitoring

2012 ◽  
Vol 142 (5) ◽  
pp. S-282 ◽  
Author(s):  
Boudewijn F Kessing ◽  
Albert J. Bredenoord ◽  
Andreas J. Smout
Keyword(s):  
High Resolution ◽  
High Resolution Manometry ◽  
Impedance Monitoring

Mechanisms of gastric and supragastric belching: a study using concurrent high-resolution manometry and impedance monitoring

2012 ◽  
Vol 24 (12) ◽  
pp. e573-e579 ◽  
Author(s):  
B. F. Kessing ◽  
A. J. Bredenoord ◽  
A. J. P. M. Smout
Keyword(s):  
High Resolution ◽  
High Resolution Manometry ◽  
Impedance Monitoring

scholarly journals Combined pH-impedance monitoring and high-resolution manometry of Japanese patients treated with proton-pump inhibitors for persistent symptoms of non-erosive reflux disease

2012 ◽  
Vol 48 (5_6) ◽  
pp. 125-135 ◽  
Author(s):  
Hiroshi Yamashita ◽  
Kiyoshi Ashida ◽  
Takumi Fukuchi ◽  
Yoshiaki Nagatani ◽  
Hideaki Koga ◽  
...  
Keyword(s):  
High Resolution ◽  
Proton Pump Inhibitors ◽  
Proton Pump ◽  
Reflux Disease ◽  
Japanese Patients ◽  
High Resolution Manometry ◽  
Persistent Symptoms ◽  
Impedance Monitoring

scholarly journals Indicators of Esophageal pH-Impedance Monitoring and High-Resolution Manometry in Patients with Various Forms of Gastroesophageal Reflux Disease

2018 ◽  
Vol 28 (4) ◽  
pp. 23-35 ◽  
Author(s):  
I. V. Maev ◽  
E. V. Barkalova ◽  
M. A. Ovsepyan ◽  
D. N. Andreev ◽  
Yu. A. Kucheryavyi
Keyword(s):  
High Resolution ◽  
Motor Function ◽  
Reflux Disease ◽  
Structure And Function ◽  
Control Group ◽  
Thoracic Esophagus ◽  
High Resolution Manometry ◽  
Esophageal Ph ◽  
Impedance Monitoring ◽  
And Function

Aim. The aim of the study is to analyze the regularities of changes in the basic indicators of esophageal pH-impedance monitoring and high-resolution manometry in patients with non-erosive reflux disease (NERD), erosive reflux disease (ERD) and Barrett’s esophagus (BE) in comparison with healthy individuals.Materials and methods.  69 patients were examined, including 19 patients with NERD, 16 patients with ERD, 14 patients with BE and 20 individuals comprising the control group (CG). The gender structure was as follows: 44 male and 25 female patients. The average age of the examined patients was 46 years. All patients underwent 24-hour esophageal pH-impedance monitoring and high resolution manometry.Results.  According to the data of 24-hour pH-impedance monitoring, the total time in the esophagus with pH < 4 was 2.4 % in the control group, 9 % in the NERD group, 20.25 % in the ERD group and 23.5 % in the patients with BE (p < 0.05). The average number of acid refluxes was 22.5 in CG, 61 in the NERD group, 77 in the ERD group and 86 in patients with BE (p < 0.05). The time of chemical clearance was 1.7 minutes in CG, 2.2 minutes in the group of patients with NERD, 2.9 minutes in the ERD group and 3 minutes in the BE group (p < 0.05). The mean nocturnal baseline impedance was 2483.5 Ohm in CG, 1775.0 Ohm in the NERD group, 771.0 Ohm in the ERD group and 911.0 Ohm in the BE group (p < 0.05). The normal parameters of the esophagogastric junction (EGJ) structure and function according to the data of highresolution manometry were observed among 85 % of the control group, 63 % of patients with NERD, 25 % of patients with ERD and 36 % of BE group. The presence of hiatal hernia (HH) and/or hypotension of lower esophageal sphincter (LES) was observed in 15 % of patients from the CG, in 37 % of patients with NERD, in 75 % of patients with ERD and in 64 % of patients with BE. The normal parameters of the motor function of the esophagus were observed in CG (85 %), as well as in patients with NERD (79 %). In patients with ERB and BE, normal motor activity was noted in 25 % and 29 % of the cases, respectively. Disturbances of the motor function of the thoracic esophagus in CG were represented in 10 % of the cases by ineffective peristalsis and hypercontractility in the form of distal esophagospasm in 5 % of the cases. In the NERD group, 16 % of patients had ineffective peristalsis and 5 % of patients had hypercontractility in the form of a hypercontractile esophagus. In patients of ERD and BE groups, the disorders of the motor function of the thoracic esophagus were predominantly represented by ineffective peristalsis, in 75 % and 50 % of the patients, respectively. In addition, in the group of patients with BE, in 21 % of the cases, motor function disorders were observed in the form of absence of thoracic esophagus contractions.Conclusion.  It is shown that such indicators as increased level of acid exposure, increased amount of acid reflux, slowed chemical clearance, lowered mean nocturnal baseline impedance, as well as disorders in the structure and function of the esophageal-gastric junction and motility of the thoracic esophagus are associated with the severity of GERD. 

scholarly journals Clinical Applications of Esophageal Impedance Monitoring and High-Resolution Manometry

2012 ◽  
Vol 14 (3) ◽  
pp. 197-205 ◽  
Author(s):  
Boudewijn F. Kessing ◽  
André J. P. M. Smout ◽  
Albert J. Bredenoord
Keyword(s):  
High Resolution ◽  
Clinical Applications ◽  
High Resolution Manometry ◽  
Impedance Monitoring ◽  
Esophageal Impedance

Sleeve sensor versus high-resolution manometry for the detection of transient lower esophageal sphincter relaxations

2005 ◽  
Vol 288 (6) ◽  
pp. G1190-G1194 ◽  
Author(s):  
A. J. Bredenoord ◽  
B. L. A. M. Weusten ◽  
R. Timmer ◽  
A. J. P. M. Smout
Keyword(s):  
High Resolution ◽  
Gastroesophageal Reflux ◽  
Lower Esophageal Sphincter ◽  
Ph Monitoring ◽  
High Resolution Manometry ◽  
Intraluminal Impedance ◽  
Impedance Monitoring ◽  
Esophageal Sphincter ◽  
Common Cavity ◽  
Ph Metry

Transient lower esophageal sphincter relaxations (TLESRs) are the most important mechanism by which gastroesophageal reflux occurs, and sleeve sensor manometry is the gold standard for detection of TLESRs. The aim of this study was to evaluate manometry with closely spaced sideholes (high-resolution manometry) for the detection of TLESRs as an alternative. In 12 patients with gastroesophageal reflux disease, a 90-min postprandial manometry was performed by using a catheter incorporating both a sleeve sensor and closely spaced sideholes in the esophagogastric junction. TLESRs recorded with both techniques were scored. Reflux during TLESRs was detected by using manometry (common cavity), intraluminal impedance, and pH monitoring. A total of 145 TLESRs were detected by using both techniques, 117 with high-resolution manometry and 108 with sleeve sensor manometry [not significant (NS)]. Manometric signs of reflux during TLESRs detected with high-resolution and sleeve sensor manometry were found in 62.4 and 56.5%, NS, respectively, versus 38.5 and 35.2%, NS on pH-metry and 70.1 and 60.2%, NS on impedance monitoring. TLESRs recognized only with high-resolution manometry were more often accompanied by reflux, as detected with manometry (59.5%) and impedance monitoring (67.6%), than TLESRs recognized only with sleeve sensor manometry (32.1 and 28.6%). High-resolution manometry is at least as accurate as sleeve sensor manometry for the detection of TLESRs.

High Resolution Manometry and pH stepup method on the localisation of the lower esophageal sphincter

2017 ◽  
Vol 26 (4) ◽  
pp. 425-429
Author(s):  
Atte Haarala ◽  
Juli-Anna Linjamäki ◽  
Heikki Tuominen ◽  
Mika Kähönen
Keyword(s):  
High Resolution ◽  
Lower Esophageal Sphincter ◽  
High Resolution Manometry ◽  
Esophageal Sphincter

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