Novel insights into esophageal diagnostic procedures.

Abstract:

:The 21st century offers new advances in diagnostic procedures and protocols in the management of esophageal diseases. This review highlights the most recent advances in esophageal diagnostic technologies, including clinical applications of novel endoscopic devices, such as ultrathin endoscopy and confocal laser endomicroscopy for diagnosis and management of Barrett's esophagus; novel parameters and protocols in high-resolution esophageal manometry for the identification and better classification of motility abnormalities; innovative connections between esophageal motility disorder diagnosis and detection of gastroesophageal reflux disease (GERD); impedance-pH testing for detecting the various GERD phenotypes; performance of distensibility testing for better pathophysiological knowledge of the esophagus and other gastrointestinal abnormalities; and a modern view of positron emission tomography scanning in metastatic disease detection in the era of accountability as a model for examining other new technologies. We now have better tools than ever for the detection of esophageal diseases and disorders, and emerging data are helping to define how well these tools change management and provide value to clinicians. This review features novel insights from multidisciplinary perspectives, including both surgical and medical perspectives, into these new tools, and it offers guidance on the use of novel technologies in clinical practice and future directions for research.

journal_name

Ann N Y Acad Sci

authors

Savarino E,Ottonello A,Tolone S,Bartolo O,Baeg MK,Farjah F,Kuribayashi S,Shetler KP,Lottrup C,Stein E

doi

10.1111/nyas.13255

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

162-177

issue

1

eissn

0077-8923

issn

1749-6632

journal_volume

1380

pub_type

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