Aerodigestive Center, Boston Children's Hospital, Boston, MA, USA.
Children's Center for Digestive Health Care, Children's Healthcare of Atlanta, Atlanta, GA, USA.
Neurogastroenterol Motil. 2018 Mar;30(3). doi: 10.1111/nmo.13239. Epub 2017 Nov 27.
Upper gastrointestinal symptoms in children are common and motility disorders are considered in the differential diagnosis. High resolution esophageal manometry (HRM) has revolutionized the study of esophageal physiology, and the addition of impedance has provided new insights into esophageal function. Antroduodenal motility has provided insight into gastric and small bowel function.
This review highlights some of the recent advances in pediatric esophageal and antroduodenal motility testing including indications, preparation, performance, and interpretation of the tests. This update is the second part of a two part series on manometry studies in children (first part was on anorectal and colonic manometry [Neurogastroenterol Motil. 2016;29:e12944]), and has been endorsed by the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) and the American Neurogastroenterology and Motility Society (ANMS).
儿童的上消化道症状很常见,动力障碍被认为是鉴别诊断的一部分。高分辨率食管测压(HRM)彻底改变了食管生理学的研究,而阻抗的增加为食管功能提供了新的见解。胃十二指肠动力为胃和小肠功能提供了深入了解。
本文重点介绍了儿童食管和胃十二指肠动力检测的一些最新进展,包括检测的适应证、准备、操作和解释。这是关于儿童测压研究的两部分系列文章的第二部分(第一部分是关于肛门直肠和结肠测压[Neurogastroenterol Motil. 2016;29:e12944]),得到了北美儿童胃肠病学、肝病学和营养学学会(NASPGHAN)和美国神经胃肠病学和动力学会(ANMS)的认可。