J Neurogastroenterol Motil.  2016 Jan;22(1):6-13. 10.5056/jnm15177.

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

Affiliations
  • 1Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. a.j.bredenoord@amc.uva.nl

Abstract

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 easily performed compared to conventional manometry. The visual presentation of acquired data improved the analysis and interpretation of esophageal motor function. This led to a more sensitive, accurate, and objective analysis of esophageal motility. In this review we discuss how HRM changed the way we define and categorize esophageal motility disorders. Moreover, we discuss the clinical applications of HRM for each esophageal motility disorder separately.

Keyword

Diagnosis; Esophageal achalasia; Esophageal motility disorders; Esophageal spasm, diffuse

MeSH Terms

Classification
Deglutition Disorders
Diagnosis*
Esophageal Achalasia
Esophageal Motility Disorders*
Esophageal Spasm, Diffuse
Humans
Manometry*
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