High resolution manometry and new classification of esophageal motility disorders

Vt, Ivashkin; Маев, И. В.; Трухманов, А. С.; Сторонова, О. А.; Kucheryavyi, Yu A; Barkalova, E. V.; Ovsepyan, M. A.; Andreev, D. N.; Paraskevova, A B; Rumyantseva, D. E.

doi:10.26442/terarkh201890593-100

Cited by 10 publications

(8 citation statements)

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“…Use of HRM has improved the accuracy and diagnostic yield of clinical investigation in patients with suspected EMD [6].However, our results showed that HRM findings based on water swallows alone failed to detect motility disorders in 4 out of 16 (25%) cases with secondary origin (3 of them had malignant secondary origin). Their disorders were diagnosed only when HRM with solid swallows was performed.…”

Section: Discussionmentioning

confidence: 65%

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Is it necessary to perform a morphological assessment for an esophageal motility disorder? A retrospective descriptive study

Latrache

Melchior

Desprez

et al. 2021

Clinics and Research in Hepatology and Gastroenterology

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Section: Discussionmentioning

confidence: 65%

“…The particularity of this method consists in its capacity to distinguish non-specific from specific EMD, i.e. achalasia, esophagogastric junction (EGJ) outflow obstruction, distal esophageal spasm, jackhammer esophagus and absent contractility [4,6].…”

Section: Is It Necessary To Perform a Morphological Assessment For An...mentioning

confidence: 99%

Is it necessary to perform a morphological assessment for an esophageal motility disorder? A retrospective descriptive study

Latrache

Melchior

Desprez

et al. 2021

Clinics and Research in Hepatology and Gastroenterology

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“…However, it is less effective in determining the effect of surgery on the physiological dynamics of food transportation. To address this, we employed HRM, which is normally used in patients with reflux esophagitis and esophagus achalasia, 7 , 8 , 14 , 15 , 16 , 17 to determine the effects of the two types of surgery described above on physiological esophageal food‐passage functions. Specifically, we measured the effect of surgery on the timing of four chronological food‐passage events, starting with the increasing pharyngeal pressure and ending with completion of the esophageal movement.…”

Section: Discussionmentioning

confidence: 99%

“…This was supported by the MTF scores, which ranged from 7 to 12. The average MTF score was 9.9 and all patients had scores that fell into the acceptable (7)(8) or good (9)(10)(11)(12)(13)(14)(15) swallowing range (Table 3).…”

Section: Manometry Datamentioning

confidence: 99%

Relationship between pharyngeal or esophageal reconstruction and esophageal pressure after swallowing

Umezawa

Hokazono

et al. 2022

Cancer Reports

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Background High‐resolution manometry, which measures esophageal luminal pressure changes after swallowing, could shed more light on food‐transport dynamics after pharyngeal/esophageal reconstruction. This prospective cohort study assessed the influence of two head‐and‐neck and esophageal tumor‐resection and reconstruction approaches on esophageal pressure. Methods The cohort consisted of 17 patients who underwent esophageal/pharyngeal resection/reconstruction for cancer and then participated in postoperative high‐resolution manometry. Five healthy controls also underwent manometry for comparison. Results Partial pharyngectomy with patch grafts associated with smooth and continuous esophageal/pharyngeal movement. By contrast, surgery that removed the thoracic esophagus led to complete loss of peristalsis and poor food transport. Conclusions High‐resolution manometry effectively characterized the changes in food‐transport dynamics caused by pharyngeal/esophageal resection/reconstruction. These findings suggest that continuous and smooth movement of the pharynx and esophagus is important for swallowing and high resolution manometry could be useful in patients after pharyngeal/esophageal resection/reconstruction.

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“…В случае, когда визуализируется единая зона давления НПС и НД (I морфологический тип ПЖП), ГПОД отсутствует. Когда же имеется разделение зон давления НПС и НД в области ПЖП, можно говорить о наличии ГПОД (II и III морфологические типы ПЖП) [38] (рис. 3Б).…”

Section: методы регистрации исходовunclassified

Features of the Parameters of 24-Hours pH-Impedance and High-Resolution Esophageal Manometry in Patients with Barrett's Esophagus on Proton Pump Inhibitors

Маев

Bordin

Barkalova

et al. 2023

Rossijskij žurnal gastroènterologii, gepatologii, koloproktolog

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Аim: to identify predictors of insufficient effectiveness of proton pump inhibitors based on the evaluation of the results of 24-hour pH-impedance and high-resolution esophageal manometry in patients with Barrett's esophagus.Materials and methods. 52 patients with histologically confirmed Barrett's esophagus who are on therapy with proton pump inhibitors were examined. All patients underwent daily pH-impedance and high-resolution esophageal manometry.Results. According to daily pH-impedance, group 1 consisted of 37 patients who responded satisfactorily to antisecretory therapy, group 2 of 15 patients who demonstrated insufficient response to acid-suppressive therapy, 11 of whom had no clinical manifestations. The total number of reflux averaged 55 in group 1 and 106 in group 2. The average number of acid reflux in group 1 was 5.68, in group 2 — 48.5. The average number of non-acid reflux prevailed in patients of group 2 and averaged 58, in group 1 the indicator averaged 47. Evaluation of the results of high-resolution esophageal manometry showed that violations of the structure and function of the esophago-gastric junction were detected in 21 patients out of 52. Disorders of the motility of the thoracic esophagus were detected in 31 patients out of 52. When comparing the frequency of motor disorders from the thoracic esophagus in groups 1 and 2, no significant differences were obtained. However, significantly more frequent registration of violations of the structure and/or function of the esophago-gastric junction was found in the group with unsatisfactory effectiveness of proton pump inhibitors.Conclusion. In a number of patients with Barrett's esophagus, there is an insufficient effect of acid-suppressive therapy and at the same time an asymptomatic course of the disease, which may increase the risk of its progression. Predictors of insufficiently successful treatment of patients with Barrett's esophagus may be both insufficient pharmacological effect of proton pump inhibitors themselves, and motility disorders that cause the presence of non-acid reflux, decreased esophageal clearance, which in turn may cause the patient's symptoms to persist and adversely affect the condition of the esophageal mucosa.

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High resolution manometry and new classification of esophageal motility disorders

Cited by 10 publications

References 0 publications

Is it necessary to perform a morphological assessment for an esophageal motility disorder? A retrospective descriptive study

Is it necessary to perform a morphological assessment for an esophageal motility disorder? A retrospective descriptive study

Relationship between pharyngeal or esophageal reconstruction and esophageal pressure after swallowing

Features of the Parameters of 24-Hours pH-Impedance and High-Resolution Esophageal Manometry in Patients with Barrett's Esophagus on Proton Pump Inhibitors

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