临床实践中的高分辨率测压法
High-Resolution Manometry in Clinical Practice.
作者信息
Carlson Dustin A, Pandolfino John E
机构信息
Dr Carlson is a fellow and Dr Pandolfino is a professor of medicine and chief of the Division of Gastroenterology and Hepatology at Northwestern University Feinberg School of Medicine in Chicago, Illinois.
出版信息
Gastroenterol Hepatol (N Y). 2015 Jun;11(6):374-84.
Abstract
High-resolution manometry (HRM) is the primary method used to evaluate esophageal motor function. Displayed and interpreted by esophageal pressure topography (EPT), HRM/ EPT provides a detailed assessment of esophageal function that is useful in the evaluation of patients with nonobstructive dysphagia and before foregut surgery. Esophageal motility diagnoses are determined systematically by applying objective metrics of esophageal sphincter and peristaltic function to the Chicago Classification of esophageal motility disorders. This article discusses HRM study, EPT interpretation, and the translation of EPT findings into clinical practice. Examples are provided to illustrate several clinical challenges.
摘要
高分辨率测压法（HRM）是评估食管运动功能的主要方法。HRM通过食管压力地形图（EPT）进行显示和解读，可对食管功能进行详细评估，这在评估非梗阻性吞咽困难患者及前肠手术前很有用。通过将食管括约肌和蠕动功能的客观指标应用于食管动力障碍的芝加哥分类系统，系统地确定食管动力诊断。本文讨论了HRM研究、EPT解读以及将EPT结果转化为临床实践。文中提供了实例来说明一些临床挑战。
相似文献
1
High-Resolution Manometry in Clinical Practice.
Gastroenterol Hepatol (N Y). 2015 Jun;11(6):374-84.
2
Diagnosis of Esophageal Motility Disorders: Esophageal Pressure Topography vs. Conventional Line Tracing.
Am J Gastroenterol. 2015 Jul;110(7):967-77; quiz 978. doi: 10.1038/ajg.2015.159. Epub 2015 Jun 2.
3
High-resolution esophageal manometry: interpretation in clinical practice.
Curr Opin Gastroenterol. 2017 Jul;33(4):301-309. doi: 10.1097/MOG.0000000000000369.
4
Chicago classification criteria of esophageal motility disorders defined in high resolution esophageal pressure topography.
Neurogastroenterol Motil. 2012 Mar;24 Suppl 1(Suppl 1):57-65. doi: 10.1111/j.1365-2982.2011.01834.x.
5
Utility of Esophageal High-Resolution Manometry in Clinical Practice: First, Do HRM.
Dig Dis Sci. 2018 Dec;63(12):3178-3186. doi: 10.1007/s10620-018-5300-4.
6
[High-resolution Manometry for Esophageal Motility Disorders].
Kyobu Geka. 2018 Sep;71(10):894-899.
7
Clinical Application of Esophageal High-resolution Manometry in the Diagnosis of Esophageal Motility Disorders.
J Neurogastroenterol Motil. 2016 Jan 31;22(1):6-13. doi: 10.5056/jnm15177.
8
Inter-observer agreement for diagnostic classification of esophageal motility disorders defined in high-resolution manometry.
Dis Esophagus. 2015 Nov-Dec;28(8):711-9. doi: 10.1111/dote.12278. Epub 2014 Sep 3.
9
Evaluation of Esophageal Motility Utilizing the Functional Lumen Imaging Probe.
Am J Gastroenterol. 2016 Dec;111(12):1726-1735. doi: 10.1038/ajg.2016.454. Epub 2016 Oct 11.
10
Assessment of pediatric cricopharyngeal achalasia with high resolution manometry.
Turk J Pediatr. 2019;61(5):804-809. doi: 10.24953/turkjped.2019.05.025.
引用本文的文献
1
Current status of functional testing for upper gastrointestinal disorders: state-of-the-art review.
Singapore Med J. 2025 Aug 1;66(8):431-438. doi: 10.4103/singaporemedj.SMJ-2025-106. Epub 2025 Aug 20.
2
Real-world Application of the Chicago Classification Version 4.0 for Esophageal Manometry: Asian Multicenter Study.
J Neurogastroenterol Motil. 2025 Jul 30;31(3):357-365. doi: 10.5056/jnm25010.
3
Mastering Vacuum Swallowing to Improve Pharyngeal Bolus Passage by Creating Negative Pressure in the Esophagus: A Case Report of Two Patients.
Prog Rehabil Med. 2025 Apr 22;10:20250011. doi: 10.2490/prm.20250011. eCollection 2025.
4
Refractory Severe Anti-SRP Myopathy that Improved with Long-term Rehabilitation Therapy: A Case Report.
Prog Rehabil Med. 2025 Jan 22;10:20250003. doi: 10.2490/prm.20250003. eCollection 2025.
5
Breakthrough Contractions During Multiple Rapid Swallows on High-Resolution Esophageal Manometry: A Marker of Esophageal Dysmotility in Post-Bariatric Surgery Patients.
Obes Surg. 2025 Jan;35(1):154-160. doi: 10.1007/s11695-024-07604-8. Epub 2024 Dec 10.
6
Clinical Implications of Proton Pump Inhibitors and Vonoprazan Micro/Nano Drug Delivery Systems for Gastric Acid-Related Disorders and Imaging.
Nanotheranostics. 2024 Sep 30;8(4):535-560. doi: 10.7150/ntno.100727. eCollection 2024.
7
The Saudi Gastroenterology Association consensus on the clinical care pathway for the diagnosis and treatment of GERD.
Saudi J Gastroenterol. 2024 Nov 1;30(6):353-368. doi: 10.4103/sjg.sjg_82_24. Epub 2024 May 30.
8
Expert Recommendations on the Diagnosis of Eosinophilic Esophagitis in the United Arab Emirates.
Cureus. 2024 Mar 12;16(3):e56062. doi: 10.7759/cureus.56062. eCollection 2024 Mar.
9
Approach to esophageal absent contractility: can we do better?
Ann Gastroenterol. 2024 Mar-Apr;37(2):117-124. doi: 10.20524/aog.2024.0860. Epub 2024 Feb 13.
10
A Mechanics-Based Perspective on the Function of Human Sphincters During Functional Luminal Imaging Probe Manometry.
J Biomech Eng. 2024 Feb 1;146(2). doi: 10.1115/1.4064125.
本文引用的文献
1
Normative values in esophageal high-resolution manometry.
Neurogastroenterol Motil. 2015 Feb;27(2):175-87. doi: 10.1111/nmo.12500. Epub 2014 Dec 29.
2
The Chicago Classification of esophageal motility disorders, v3.0.
Neurogastroenterol Motil. 2015 Feb;27(2):160-74. doi: 10.1111/nmo.12477. Epub 2014 Dec 3.
3
Peroral endoscopic myotomy (POEM) for esophageal primary motility disorders: analysis of 100 consecutive patients.
J Gastrointest Surg. 2015 Jan;19(1):161-70; discussion 170. doi: 10.1007/s11605-014-2610-5. Epub 2014 Sep 3.
4
Endoscopic ultrasound as an adjunctive evaluation in patients with esophageal motor disorders subtyped by high-resolution manometry.
Neurogastroenterol Motil. 2014 Aug;26(8):1172-8. doi: 10.1111/nmo.12379.
5
Effects of antidepressants in patients with functional esophageal disorders or gastroesophageal reflux disease: a systematic review.
Clin Gastroenterol Hepatol. 2015 Feb;13(2):251-259.e1. doi: 10.1016/j.cgh.2014.06.025. Epub 2014 Jul 3.
6
The four phases of esophageal bolus transit defined by high-resolution impedance manometry and fluoroscopy.
Am J Physiol Gastrointest Liver Physiol. 2014 Aug 15;307(4):G437-44. doi: 10.1152/ajpgi.00148.2014. Epub 2014 Jun 26.
7
Flow time through esophagogastric junction derived during high-resolution impedance-manometry studies: a novel parameter for assessing esophageal bolus transit.
Am J Physiol Gastrointest Liver Physiol. 2014 Jul 15;307(2):G158-63. doi: 10.1152/ajpgi.00119.2014. Epub 2014 May 22.
8
Assessing bolus retention in achalasia using high-resolution manometry with impedance: a comparator study with timed barium esophagram.
Am J Gastroenterol. 2014 Jun;109(6):829-35. doi: 10.1038/ajg.2014.61. Epub 2014 Apr 8.
9
Lack of correlation between HRM metrics and symptoms during the manometric protocol.
Am J Gastroenterol. 2014 Apr;109(4):521-6. doi: 10.1038/ajg.2014.13. Epub 2014 Feb 11.
10
Assessment of upper esophageal sphincter function on high-resolution manometry: identification of predictors of globus symptoms.
J Clin Gastroenterol. 2015 Feb;49(2):95-100. doi: 10.1097/MCG.0000000000000078.
Zotero 插件