Esophageal manometry is the definitive test to evaluate esophageal motility and is indicated in the diagnostic evaluation of patients with nonobstructive dysphagia. Esophageal manometry is also indicated in the preoperative evaluation of patients obtaining a high-quality HRM study. Decisions toward or away from foregut surgery (Heller myotomy, Nissen fundoplication), which can be associated wit...

HYPOTHESIS Operative manometry detects residual esophagogastric junction (EGJ) high pressure, ensuring complete myotomy. DESIGN Consecutive patients undergoing laparoscopic myotomy. SETTING Tertiary care academic medical center. PATIENTS From 1997 to 2003, 139 patients with achalasia underwent laparoscopic myotomy. INTERVENTIONS We assessed myotomy completeness by operative endoscopy an...

INTRODUCTION Readiness to speak is a major problem for many tracheostomized patients. Evaluation for tracheostomy tube capping or speaking valve is often subjective. OBJECTIVES We first wanted to assess whether there were differences among speaking valves. We developed a care pathway for tracheostomy tube evaluation and management including manometry, which we wanted to evaluate. METHODS Th...

BACKGROUND The aetiology of constipation in Parkinson's disease remains poorly understood. Defaecatory dyssynergia, anal sphincter spasticity and slow transit constipation may, individually or collectively, play a role. AIMS In this retrospective cohort analysis of patients with Parkinson's disease and chronic constipation, we determined the utility of high-resolution anorectal manometry, bal...

Management of chronic constipation with refractory symptoms can be challenging. Although new drugs and behavioral treat-ments have improved outcome, when they fail, there is little guidance on what to do next. At this juncture, typically most doc-tors may refer for surgical intervention although total colectomy is associated with morbidity including complications such as recurrent bacterial ove...

INTRODUCTION Upper airway nerve and muscle damage associated with obstructive sleep apnea may impair the strength and dynamics of pharyngeal and esophageal contractions during swallowing. OBJECTIVE To evaluate the presence of alterations in pharyngoesophageal manometry in patients with obstructive sleep apnea with and without oropharyngeal dysphagia. METHODS This study prospectively evaluat...

Multichannel intraluminal impedance (MII) is a new diagnostic test for gastroesophageal reflux disease (GERD). The objective of this report is to determine the accuracy of MII in detecting individual reflux events (REs) identified by pH probe and manometry, as well as their clearing in patients with severe GERD compared with normal volunteers. Ten severe GERD patients and 10 normal volunteers u...

BACKGROUND Sphincter of Oddi dysfunction is diagnosed at manometry and, after cholecystectomy, non-invasively at quantitative choledochoscintigraphy. Patients may benefit from endoscopic sphincterotomy. AIMS The aim of this study was to assess the usefulness of choledochoscintigraphy compared with manometry in predicting outcome of sphincterotomy in post cholecystectomy patients with sphincte...

Esophageal manometry is one of the main axes in diagnostic armamentarium that deals with esophageal motility disorders, next to endoscopic and radiological methods. Traditional, conventional manometry, has greatly been replaced by a modern technique, high resolution which enables not only better spatiotemporal signal compatibility, but also shortens time procedure extremely important for patien...

Eosinophilic esophagitis is a chronic immunoallergic inflammatory disease of the esophagus that represents a major cause of digestive morbidity among the pediatric and young adult populations. Despite the fact that key symptoms in adults include dysphagia and food impaction, many patients lack structural changes in the esophagus to account for their complaints, which suggests the presence of un...