Omari Taher I, Krishnan Usha
College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Paediatric Gastroenterology, Sydney Children's Hospital, Sydney, New South Wales, Australia.
J Paediatr Child Health. 2020 Nov;56(11):1754-1759. doi: 10.1111/jpc.15057.
Abnormal oesophageal motility may impair oesophageal bolus transport leading to symptoms of chest pain and regurgitation. Oesophageal pathophysiology may include neuromuscular and/or structural defects leading to weak, incoordinate or absent peristalsis and impaired oesophago-gastric junction relaxation. Understanding these mechanisms is important to determine the appropriate course of therapy. Whilst, barium oesophagram is the mainstay for clinical investigation of oesophageal motility, high-resolution manometry is now more widely available. This review describes the potential value of high-resolution manometry in paediatric gastroenterology practise.
食管动力异常可能会损害食管团块运输，导致胸痛和反流症状。食管病理生理学可能包括神经肌肉和/或结构缺陷，导致蠕动减弱、不协调或消失，以及食管胃交界处松弛受损。了解这些机制对于确定合适的治疗方案很重要。虽然钡餐食管造影是食管动力临床检查的主要手段，但高分辨率测压现在更为普及。本文综述了高分辨率测压在儿科胃肠病学实践中的潜在价值。
