Esophageal Motility Testing: Impedance-Based Transit Measurement and High-Resolution Manometry

Gastroenterology Clinics of North America

Volumn 37, Issue 4, 2008, Pages 775-791

  Bredenoord, Albert J ^a,b   Smout, André J ^b  

^a ST ANTONIUS HOSPITAL   (Netherlands)

^b UNIVERSITY MEDICAL CENTER UTRECHT   (Netherlands)

Author keywords

Dysphagia; Esophagus; Impedance; Manometry; Motility

Indexed keywords

ALGORITHM; ANALYTIC METHOD; BARIUM MEAL; DATA ANALYSIS; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; DYSPHAGIA; ESOPHAGUS; ESOPHAGUS ACHALASIA; ESOPHAGUS EXAMINATION; ESOPHAGUS MANOMETRY; ESOPHAGUS MOTILITY; ESOPHAGUS PRESSURE; ESOPHAGUS SPASM; FLUOROSCOPY; GASTROESOPHAGEAL REFLUX; GASTROINTESTINAL MOTILITY DISORDER; GASTROINTESTINAL TRANSIT; HIGH RESOLUTION MANOMETRY; HUMAN; IMPEDANCE; IMPEDANCE BASED TRANSIT MEASUREMENT; MONITORING; OPTICAL RESOLUTION; PREOPERATIVE EVALUATION; REVIEW; SCLERODERMA; SENSITIVITY AND SPECIFICITY; THORAX PAIN;

ELECTRIC IMPEDANCE; ESOPHAGEAL MOTILITY DISORDERS; ESOPHAGUS; HUMANS; MANOMETRY;

EID: 56349099721     PISSN: 08898553     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.gtc.2008.09.010     Document Type: Review

References (49)

1. Ward B.W., Wu W.C., Richter J.E., et al. Long-term follow-up of symptomatic status of patients with noncardiac chest pain: is diagnosis of esophageal etiology helpful?. Am J Gastroenterol 82 3 (1987) 215-218
2. Fibbe C., Layer P., Keller J., et al. Esophageal motility in reflux disease before and after fundoplication: a prospective, randomized, clinical, and manometric study. Gastroenterology 121 1 (2001) 5-14
3. Baigrie R.J., Watson D.I., Myers J.C., et al. Outcome of laparoscopic Nissen fundoplication in patients with disordered preoperative peristalsis. Gut 40 3 (1997) 381-385
4. Simren M., Silny J., Holloway R., et al. Relevance of ineffective oesophageal motility during oesophageal acid clearance. Gut 52 6 (2003) 784-790
5. Vinjirayer E., Gonzalez B., Brensinger C., et al. Ineffective motility is not a marker for gastroesophageal reflux disease. Am J Gastroenterol 98 4 (2003) 771-776
6. Klauser A.G., Schindlbeck N.E., and Muller-Lissner S.A. Esophageal 24-h pH monitoring: is prior manometry necessary for correct positioning of the electrode?. Am J Gastroenterol 85 11 (1990) 1463-1467
7. Code C.F., Creamer B., Schlegel J.F., et al. An atlas of esophageal motility in health and disease (1958), Charles C. Thomas, Springfield(IL)
8. Fyke F.E., Code C.F., and Schlegel J.F. The gastroesophageal sphincter in healthy human beings. Gastroenterologia 86 135 (1956) 135-150
9. Dent J. A new technique for continuous sphincter pressure measurement. Gastroenterology 71 2 (1976) 263-267
10. Omari T., Bakewell M., Fraser R., et al. Intraluminal micromanometry: an evaluation of the dynamic performance of micro-extrusions and sleeve sensors. Neurogastroenterol Motil 8 3 (1996) 241-245
11. Chen W.H., Omari T.I., Holloway R.H., et al. A comparison of micromanometric and standard manometric techniques for recording of oesophageal motility. Neurogastroenterol Motil 10 3 (1998) 253-262
12. Clouse R.E., and Staiano A. Topography of the esophageal peristaltic pressure wave. Am J Physiol 261 4 Pt 1 (1991) G677-G684
13. Clouse R.E., and Staiano A. Topography of normal and high-amplitude esophageal peristalsis. Am J Physiol 265 6 Pt 1 (1993) G1098-G1107
14. Clouse R.E., Alrakawi A., and Staiano A. Intersubject and interswallow variability in topography of esophageal motility. Dig Dis Sci 43 9 (1998) 1978-1985
15. Staiano A., and Clouse R.E. The effects of cisapride on the topography of oesophageal peristalsis. Aliment Pharmacol Ther 10 6 (1996) 875-882
16. Ghosh S.K., Janiak P., Schwizer W., et al. Physiology of the esophageal pressure transition zone: separate contraction waves above and below. Am J Physiol Gastrointest Liver Physiol 290 3 (2006) G568-G576
17. Fox M., Hebbard G., Janiak P., et al. High-resolution manometry predicts the success of oesophageal bolus transport and identifies clinically important abnormalities not detected by conventional manometry. Neurogastroenterol Motil 16 5 (2004) 533-542
18. Fox M., Menne D., Stutz B., et al. The effects of tegaserod on oesophageal function and bolus transport in healthy volunteers: studies using concurrent high-resolution manometry and videofluoroscopy. Aliment Pharmacol Ther 24 7 (2006) 1017-1027
19. Clouse R.E., Staiano A., Alrakawi A., et al. Application of topographical methods to clinical esophageal manometry. Am J Gastroenterol 95 10 (2000) 2720-2730
20. Clouse R.E., Staiano A., and Alrakawi A. Topographic analysis of esophageal double-peaked waves. Gastroenterology 118 3 (2000) 469-476
21. Balaban D.H., Yamamoto Y., Liu J., et al. Sustained esophageal contraction: a marker of esophageal chest pain identified by intraluminal ultrasonography. Gastroenterology 116 1 (1999) 29-37
22. Bredenoord A.J., Weusten B.L., Carmagnola S., et al. Double-peaked high-pressure zone at the esophagogastric junction in controls and in patients with a hiatal hernia. A study using high-resolution manometry. Dig Dis Sci 49 7-8 (2004) 1128-1135
23. Bredenoord A.J., Weusten B.L., Timmer R., et al. Intermittent spatial separation of diaphragm and lower esophageal sphincter favors acidic and weakly acidic reflux. Gastroenterology 130 2 (2006) 334-340
24. Williams R.B., Pal A., Brasseur J.G., et al. Space-time pressure structure of pharyngo-esophageal segment during swallowing. Am J Physiol Gastrointest Liver Physiol 281 5 (2001) G1290-G1300
25. Pal A., Williams R.B., Cook I.J., et al. Intrabolus pressure gradient identifies pathological constriction in the upper esophageal sphincter during flow. Am J Physiol Gastrointest Liver Physiol 285 5 (2003) G1037-G1048
26. Staiano A., and Clouse R.E. Detection of incomplete lower esophageal sphincter relaxation with conventional point-pressure sensors. Am J Gastroenterol 96 12 (2001) 3258-3267
27. Scheffer R.C., Gooszen H.G., Hebbard G., et al. The role of transsphincteric pressure and proximal gastric volume in acid reflux before and after fundoplication. Gastroenterology 129 6 (2005) 1900-1909
28. Pandolfino J.E., Ghosh S.K., Zhang Q., et al. Quantifying EGJ morphology and relaxation with high-resolution manometry: a study of 75 asymptomatic volunteers. Am J Physiol Gastrointest Liver Physiol 290 5 (2006) G1033-G1040
29. Pandolfino J.E., Ghosh S.K., Rice J., et al. Classifying esophageal motility by pressure topography characteristics: a study of 400 patients and 75 controls. Am J Gastroenterol 103 1 (2008) 27-37
30. Pandolfino J.E., El Serag H.B., Zhang Q., et al. Obesity: a challenge to esophagogastric junction integrity. Gastroenterology 130 3 (2006) 639-649
31. Bredenoord A.J., Weusten B.L., Timmer R., et al. Gastro-oesophageal reflux of liquids and gas during transient lower oesophageal sphincter relaxations. Neurogastroenterol Motil 18 10 (2006) 888-893
32. Ren J., Massey B.T., Dodds W.J., et al. Determinants of intrabolus pressure during esophageal peristaltic bolus transport. Am J Physiol 264 3 Pt 1 (1993) G407-G413
33. Scheffer R.C., Samsom M., Haverkamp A., et al. Impaired bolus transit across the esophagogastric junction in postfundoplication dysphagia. Am J Gastroenterol 100 8 (2005) 1677-1684
34. Bredenoord A.J., Draaisma W.A., Weusten B.L., et al. Mechanisms of acid, weakly acidic, and gas reflux after anti-reflux surgery. Gut 57 2 (2008) 161-166
35. Frieling T., Hermann S., Kuhlbusch R., et al. Comparison between intraluminal multiple electric impedance measurement and manometry in the human oesophagus. Neurogastroenterol Motil 8 1 (1996) 45-50
36. Nguyen N.Q., Tippett M., Smout A.J., et al. Relationship between pressure wave amplitude and esophageal bolus clearance assessed by combined manometry and multichannel intraluminal impedance measurement. Am J Gastroenterol 101 11 (2006) 2476-2484
37. Fass J., Silny J., Braun J., et al. Measuring esophageal motility with a new intraluminal impedance device. First clinical results in reflux patients. Scand J Gastroenterol 29 8 (1994) 693-702
38. Silny J. Intraluminal multiple electric impedance procedure for measurement of gastrointestinal motility. J Gastrointest Mot 3 3 (1991) 151-162
39. Blonski W., Hila A., Jain V., et al. Impedance manometry with viscous test solution increases detection of esophageal function defects compared to liquid swallows. Scand J Gastroenterol 42 8 (2007) 917-922
40. Imam H., Shay S., Ali A., et al. Bolus transit patterns in healthy subjects: a study using simultaneous impedance monitoring, videoesophagram, and esophageal manometry. Am J Physiol Gastrointest Liver Physiol 288 5 (2005) G1000-G1006
41. Tutuian R., Vela M., Nagammapudur S., et al. Esophageal function testing with combined multichannel intraluminal impedance and manometry: multicenter study in healthy volunteers. Clin Gastroenterol Hepatol 1 3 (2003) 174-182
42. Nguyen N.Q., Rigda R., Tippett M., et al. Assessment of oesophageal motor function using combined perfusion manometry and multi-channel intra-luminal impedance measurement in normal subjects. Neurogastroenterol Motil 17 3 (2005) 458-465
43. Nguyen H.N., Domingues G.R., Winograd R., et al. Impedance characteristics of normal oesophageal motor function. Eur J Gastroenterol Hepatol 15 7 (2003) 773-780
44. Tutuian R., and Castell D.O. Combined multichannel intraluminal impedance and manometry clarifies esophageal function abnormalities: study in 350 patients. Am J Gastroenterol 99 6 (2004) 1011-1019
45. Conchillo J.M., Nguyen N.Q., Samsom M., et al. Multichannel intraluminal impedance monitoring in the evaluation of patients with non-obstructive dysphagia. Am J Gastroenterol 100 12 (2005) 2624-2632
46. Tutuian R., and Castell D.O. Clarification of the esophageal function defect in patients with manometric ineffective esophageal motility: studies using combined impedance-manometry. Clin Gastroenterol Hepatol 2 3 (2004) 230-236
47. Tutuian R., Mainie I., Agrawal A., et al. Symptom and function heterogenicity among patients with distal esophageal spasm: studies using combined impedance-manometry. Am J Gastroenterol 101 3 (2006) 464-469
48. Nguyen H.N., Domingues G.R., Winograd R., et al. Impedance characteristics of esophageal motor function in achalasia. Dis Esophagus 17 1 (2004) 44-50
49. Conchillo J.M., Selimah M., Bredenoord A.J., et al. Assessment of oesophageal emptying in achalasia patients by intraluminal impedance monitoring. Neurogastroenterol Motil 18 11 (2006) 971-977