Gurala Dhineshreddy, Philipose Jobin, Polavarapu Abhishek D, El Douaihy Youssef, Mulrooney Stephen M
Internal Medicine, Staten Island University Hospital - Northwell Health, New York, USA.
Gastroenterology and Hepatology, Staten Island University Hospital - Northwell Health, New York, USA.
Cureus. 2020 Aug 26;12(8):e10063. doi: 10.7759/cureus.10063.
High-resolution esophageal manometry (HRM) has become the gold standard to diagnose esophageal motility disorders. Usually, this procedure is performed by introducing the catheter, which has pressure sensors, into the esophagus and proximal stomach via the nares. Repeated coiling of the catheter and inability to pass through the gastroesophageal junction (GEJ) are common challenges encountered. Endoscopy-guided placement of the catheter can overcome these difficulties. However, sometimes even with the use of endoscopy, it is difficult to advance catheter due to anatomical variants. The extreme fragility of the catheter and sensors and the high cost of this reusable device precludes the use of biopsy forceps or snare to advance the catheter. There is no literature on using accessories during endoscopy in case of difficult placement under direct visualization. We report a unique case of using Roth Net via the suction channel to advance esophageal manometry catheter into the stomach by using endoscopy.
高分辨率食管测压（HRM）已成为诊断食管动力障碍的金标准。通常，该操作是通过将带有压力传感器的导管经鼻孔插入食管和近端胃来进行的。导管反复盘绕以及无法通过胃食管交界处（GEJ）是常见的难题。内镜引导下放置导管可克服这些困难。然而，有时即使使用内镜，由于解剖变异，导管推进也很困难。导管和传感器极其脆弱，且这种可重复使用设备成本高昂，这使得无法使用活检钳或圈套器来推进导管。目前尚无关于在内镜直视下放置困难时使用附件的文献报道。我们报告了一例独特的病例，即通过内镜经吸引通道使用罗斯网将食管测压导管推进胃内。
