Is EGJOO a Purely Manometric Diagnosis?

2021 ◽  
Vol 1 (3) ◽  
pp. 234-243
Author(s):  
Benjamin L. Elsbernd ◽  
Kerry B. Dunbar
Keyword(s):  
High Resolution ◽  
Esophageal Manometry ◽  
Clinical Course ◽  
Outlet Obstruction ◽  
Spontaneous Resolution ◽  
Heterogenous Group ◽  
Provocative Testing ◽  
Research Studies

The diagnosis of esophagogastric outlet obstruction (EGJOO) includes a heterogenous group of disorders with a wide variation in clinical course ranging from spontaneous resolution to achalasia. EGJOO can be subdivided into primary EGJOO or secondary EGJOO in which structural, infiltrative, or medication-related causes can be implicated. Recently, research studies have focused on further phenotyping of patients with EGJOO using provocative testing during high resolution esophageal manometry (HRM) as well as non-manometric adjuvant testing. We will review the various modalities used for diagnosis and assessment of EGJOO as well as the available treatments.

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

789 HIGH RESOLUTION ESOPHAGEAL MOTILITY: VARIABLE GEOGRAPHIC DISTRIBUTION IN A LARGE MEXICAN COHORT

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Genaro Vazquez-Elizondo ◽  
José María Remes-Troche ◽  
Enrique Coss-Adame ◽  
Edgardo Suárez-Morán ◽  
Miguel Ángel Valdovinos-Díaz ◽  
...  
Keyword(s):  
High Resolution ◽  
Data Base ◽  
Regional Differences ◽  
Outlet Obstruction ◽  
Central Mexico ◽  
Diverse Population ◽  
Chi Square ◽  
The North ◽  
Available Information ◽  
Diagnostic Outcome

Abstract   High resolution esophageal manometry (HREM) has been in use for about a decade. However, there is no available information regarding geographical or regional differences in diagnostic outcome. Aim Characterize the indications, demographics and diagnostic outcome of HREM in a diverse population of Mexico. Methods Data was collected from four major referral centers representing diverse geographical areas of Mexico: central—Mexico City (two centers, years 2016-2020), south (Veracruz, years 2015-2020) and north (Monterrey, years 2013—2020). All consecutive cases referred for HREM were entered into a data base and analyzed using Chicago 3 classification. Data was evaluated using chi-square to compare frequencies among groups. Results 2,932 patients included: Central n = 877(29.9), North n = 1003(34.2), South n = 1052(35.9). Mean age 47.9(11-93), women 1,795(61.2), men 1,137(38.8). Nationwide, the most common indications for testing were: GERD n = 1677(57.2), followed by dysphagia 587(20), atypical GERD 244(8.3), post-operative GERD 230(7.9), chest pain 114(3.9), and post-operative dysphagia 78(2.8). HREM was normal in 1,468(49.9) patients. Table shows the diagnostic distribution among centers: Central-Mexico had more abnormal cases 531(60.5) (p < 0.0.001) vs 407(40.6) North and 532(50.6) South. Achalasia was more commonly diagnosed in the South n = 104(19.5) whereas outlet obstruction 39(967) p < 0.001 and spastic disorders were more common in the North 47(11.8) p = 0.002. Weak peristaltic disorders were more common in Central-Mexico 369(78.8) p < 0.001. Conclusion This study represents the first large comparative multicenter HREM data base project in Mexico. In this cohort, most patients receiving HREM are women and those whose indication was GERD. These findings indicate variable regional geographical distribution of HERM diagnosis. Our study suggests that further investigation into the causes and epidemiological distribution of motility disorders is warranted.

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.

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