Esophageal manometry in gastroesophageal reflux disease.

Abstract:

:High-resolution manometry (HRM) allows nuanced evaluation of esophageal motor function, and more accurate evaluation of lower esophageal sphincter (LES) function, in comparison with conventional manometry. Pathophysiologic correlates of gastroesophageal reflux disease (GERD) and esophageal peristaltic performance are well addressed by this technique. HRM may alter the surgical decision by assessment of esophageal peristaltic function and exclusion of esophageal outflow obstruction before antireflux surgery. Provocative testing during HRM may assess esophageal smooth muscle peristaltic reserve and help predict the likelihood of transit symptoms following antireflux surgery. HRM represents a continuously evolving new technology that compliments the evaluation and management of GERD.

authors

Mello M,Gyawali CP

doi

10.1016/j.gtc.2013.11.005

subject

Has Abstract

pub_date

2014-03-01 00:00:00

pages

69-87

issue

1

eissn

0889-8553

issn

1558-1942

pii

S0889-8553(13)00115-5

journal_volume

43

pub_type

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