Herbella Fernando Augusto Mardiros, Aprile Lilian R O, Patti Marco G
Department of Surgery, Escola Paulista de Medicina, Division of Esophagus and Stomach, Surgical Gastroenterology, Federal University of Sao Paulo, Hospital Sao Paulo, Rua Diogo de Faria 1087 cj 301, Sao Paulo, SP, 04037-003, Brazil,
Updates Surg. 2014 Sep;66(3):177-81. doi: 10.1007/s13304-014-0261-4. Epub 2014 Aug 9.
This review focus on the utility of HRM for the evaluation of gastric motility. The evaluation of gastric motility has clinical implications for the study of a myriad of diseases. Disordered motility represents a spectrum of dysfunction ranging from delayed gastric emptying to abnormally rapid gastric transit. Gastric motility may be measured by a variety of methods with different efficacy and different variables that may be obtained. High-resolution manometry was created and added to the diagnostic armamentarium. The methods and outcomes for the study of proximal motility that may be useful to assess the thoracoabdominal pressure gradient, gastric filling and accommodation are described. Also, studies on antroduodenal manometry are reviewed. High-resolution manometry allows gastric manometry without technical limitations found on conventional manometry; however, studies are still on the phase of understanding the normal findings.
本综述聚焦于高分辨率测压法在评估胃动力方面的效用。胃动力评估对众多疾病的研究具有临床意义。动力紊乱代表了一系列功能障碍,从胃排空延迟到胃传输异常快速。胃动力可通过多种方法进行测量,这些方法具有不同的效能以及可获取的不同变量。高分辨率测压法应运而生并被纳入诊断手段。文中描述了用于评估胸腹压力梯度、胃充盈和容纳情况的近端动力研究的方法及结果。此外,还对十二指肠测压的研究进行了综述。高分辨率测压法使得胃测压不受传统测压法所存在的技术限制;然而,相关研究仍处于了解正常结果的阶段。