Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA, USA.
Department of Gastroenterology and Hepatology, Amsterdam University Medical Centre, Amsterdam, The Netherlands.
Neurogastroenterol Motil. 2020 Oct;32(10):e13861. doi: 10.1111/nmo.13861. Epub 2020 May 11.
High-resolution manometry revolutionized the assessment of esophageal motility disorders and upgraded the classification through the Chicago Classification. A known disadvantage of standard HRM, however, is the inability to record esophageal motility function for an extended time interval; therefore, it represents only a more snapshot view of esophageal motor function. In contrast, ambulatory esophageal manometry measures esophageal motility over a prolonged period and detects motor activity during the entire circadian cycle. Furthermore, ambulatory manometry has the ability to measure temporal correlations between symptoms and motor events. This article aimed to review the clinical implications of ambulatory esophageal manometry for various symptoms, covering literature on the manometry catheter, interpretation of findings, and relevance in clinical practice specific to the evaluation of non-cardiac chest pain, chronic cough, and rumination syndrome.
高分辨率测压法通过芝加哥分类法彻底改变了食管动力障碍的评估，并对其进行了分类。然而，标准高分辨率测压法的一个已知缺点是无法记录食管动力功能的延长时间间隔；因此，它仅代表食管运动功能的更实时视图。相比之下，动态食管测压法可长时间测量食管动力，并在整个昼夜节律周期内检测运动活动。此外，动态测压法还能够测量症状与运动事件之间的时间相关性。本文旨在综述动态食管测压法对各种症状的临床意义，涵盖了有关测压管的文献、结果解读以及在非心源性胸痛、慢性咳嗽和反刍综合征评估中的临床实践相关性。
