Esophageal motor function: technical aspects of manometry

C Prakash Gyawali; Amit Patel

doi:10.1016/j.giec.2014.06.003

Esophageal motor function: technical aspects of manometry

Gastrointest Endosc Clin N Am. 2014 Oct;24(4):527-43. doi: 10.1016/j.giec.2014.06.003. Epub 2014 Aug 8.

Authors

C Prakash Gyawali¹, Amit Patel²

Affiliations

¹ Division of Gastroenterology, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8124, Saint Louis, MO 63110, USA. Electronic address: cprakash@dom.wustl.edu.
² Division of Gastroenterology, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8124, Saint Louis, MO 63110, USA.

PMID: 25216901
DOI: 10.1016/j.giec.2014.06.003

Abstract

High-resolution manometry (HRM) has advanced the understanding of esophageal peristaltic mechanisms and has simplified esophageal motor testing. In this article the technical aspects of HRM are addressed, focusing on test protocols, in addition to concerns and pitfalls in performing esophageal motor studies. Specifically, catheter positioning, equipment-related artifacts, basal data acquisition, adequate swallows, and provocative maneuvers are discussed.

Keywords: Clouse plot; Dysphagia; Esophageal motor function; High-resolution manometry.

Publication types

Review

MeSH terms

Catheterization
Esophageal Motility Disorders / diagnosis*
Esophageal Motility Disorders / physiopathology
Esophageal Sphincter, Lower
Esophagus / physiology
Esophagus / physiopathology*
Humans
Manometry / methods
Peristalsis / physiology