Diagnosis of Esophageal Motility Disorders: Esophageal Pressure Topography vs. Conventional Line Tracing

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Esophageal motility disorders

The diagnosis of esophageal motor disorders is based on the results of esophageal manometry in patients with dysphagia, gastro-esophageal reflux associated symptoms or chest pain. Recently, the development of high resolution esophageal manometry (HRM) with esophageal pressure topography plots modified the diagnosis process in patients with esophageal motility disorders. Esophageal motility diso...

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Symptoms of chest pain and dysphagia are common in the adult population. Most patients initially undergo an evaluation to exclude anatomic causes (ie, esophagitis, stricture) and cardiovascular disease as the etiology of these symptoms. Patients with persistent symptoms may then be referred for specialized testing of the esophagus, including esophageal manometry. Disorders of esophageal motilit...

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Spectrum of esophageal motility disorders: implications for diagnosis and treatment.

BACKGROUND The named primary esophageal motility disorders (PEMDs) are achalasia, diffuse esophageal spasm (DES), nutcracker esophagus (NE), and hypertensive lower esophageal sphincter (HTN-LES). Although the diagnosis and treatment of achalasia are well defined, such is not the case with the other disorders. HYPOTHESIS (1) Symptoms do not reliably distinguish PEMDs from gastroesophageal refl...

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Clinical Application of Esophageal High-resolution Manometry in the Diagnosis of Esophageal Motility Disorders

Esophageal high-resolution manometry (HRM) is replacing conventional manometry in the clinical evaluation of patients with esophageal symptoms, especially dysphagia. The introduction of HRM gave rise to new objective metrics and recognizable patterns of esophageal motor function, requiring a new classification scheme: the Chicago classification. HRM measurements are more detailed and more easil...

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ژورنال

عنوان ژورنال: American Journal of Gastroenterology

سال: 2015

ISSN: 0002-9270

DOI: 10.1038/ajg.2015.159