Clinical Utility of Selective Esophageal Manometry in a Tertiary Care Setting |
| |
Authors: | Vaibhav Mehendiratta Anthony J DiMarino Sidney Cohen |
| |
Institution: | (1) Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA;(2) Division of Gastroenterology and Hepatology, Thomas Jefferson University Hospital, 480 Main, 132 S. 10th Street, Philadelphia, PA 19107, USA |
| |
Abstract: | Purpose To evaluate the utility of selective esophageal manometry in clinical practice. Results Retrospective data from 200 subjects was reviewed. Manometry was considered to be (1) high clinical utility when specific
abnormality was identified resulting in therapeutic intervention, (2) low clinical utility when specific abnormality was identified
without alteration of therapy, (3) limited clinical utility when manometry was normal. High, low, and limited clinical utility
was noted in 47, 40, and 13% of instances. Manometry was of high utility in patients with dysphagia or non-cardiac chest pain
(P < 0.05), and low utility in gastroesophageal reflux (P < 0.05). Conclusions (1) Esophageal manometry has high clinical utility in dysphagia after exclusion of structural disorders; and non-cardiac
chest pain after careful exclusion of reflux. (2) Ineffective motility disorder has high association with gastroesophageal
reflux disease but low clinical utility except in preoperative assessment for fundoplication. (3) Esophageal manometry is
of high utility in clinical practice when used in conjunction with other diagnostic exclusions. |
| |
Keywords: | Esophagus Manometry Dysphagia Non-cardiac chest pain |
本文献已被 PubMed SpringerLink 等数据库收录! |
|