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Normal Values of High-resolution Manometry Parameters With Provocative Maneuvers.

作者信息

Su Hui, Krause Amanda J, Masihi Melina, Prescott Jacqueline, Decorrevont Alex, Germond Emma, Karasik Dave, Kou Wenjun, Pandolfino John E, Carlson Dustin A

机构信息

Department of Gastroenterology, Capital Medical University Affiliated Beijing Shijitan Hospital, Beijing, China.

Division of Gastroenterology and Hepatology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

出版信息

J Neurogastroenterol Motil. 2021 Jul 30;27(3):354-362. doi: 10.5056/jnm20118.


DOI:10.5056/jnm20118
PMID:34210900
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8266507/
Abstract

BACKGROUND/AIMS: Incorporation of complementary and provocative test swallows to the high-resolution manometry (HRM) protocol offers potential to address limitations posed by HRM protocols that involve only a single swallow type. The aim of this study is to describe normal findings of a comprehensive HRM testing protocol performed on healthy asymptomatic volunteers. METHODS: Thirty healthy asymptomatic volunteers completed HRM with 5-mL liquid swallows in the supine position. They also completed 5-mL liquid swallows in the upright position, viscous swallows, solid test swallows, multiple rapid swallows, and a rapid drink challenge. HRM studies were analyzed via Chicago classification version 3.0. RESULTS: The median (5th-95th percentiles) for integrated relaxation pressure (IRP) on supine swallows was 11 (4-16) mmHg; IRP was lower than supine on upright liquid 9 (0-17) mmHg, viscous 6 (0-15) mmHg, solid 9 (1-19) mmHg, multiple rapid swallows 3 (0-12) mmHg, and rapid drink challenge 5 (-3-12) mmHg; < 0.005. While an "elevated" IRP value was observed on 1 to 2 test maneuvers in 8/30 (27%) subjects, all 30 subjects had an IRP value < 12 mmHg on at least one of the test maneuvers. CONCLUSIONS: Normal values and findings from a comprehensive HRM testing protocol are reported based on evaluation of 30 healthy asymptomatic volunteers. Isolated "abnormalities" of IRP and contractile parameters were observed in the majority (80%) of these asymptomatic subjects, while all subjects also had normal features observed. Thus, the definition of "normal" should be recalibrated to focus on the entirety of the study and not individual metrics.

摘要

相似文献

[1]
Normal Values of High-resolution Manometry Parameters With Provocative Maneuvers.

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引用本文的文献

[1]
Additional Diagnostic Yield of the Rapid Drink Challenge in Chicago Classification Version 4.0 Compared With Version 3.0.

J Neurogastroenterol Motil. 2024-10-30

[2]
Integrated Relaxation Pressure and Its Diagnostic Ability May Vary According to the Conditions Used for HREM Recording.

Dysphagia. 2024-8

[3]
Contraction reserve in high resolution manometry is correlated with lower esophageal acid exposure time in patients with normal esophageal motility: A retrospective observational study.

PLoS One. 2023

[4]
Multiple rapid swallows and rapid drink challenge in patients with esophagogastric junction outflow obstruction on high-resolution manometry.

Neurogastroenterol Motil. 2021-3

本文引用的文献

[1]
Prospective serial diagnostic study: the effects of position and provocative tests on the diagnosis of oesophageal motility disorders by high-resolution manometry.

Aliment Pharmacol Ther. 2020-2-13

[2]
Jackhammer esophagus with and without esophagogastric junction outflow obstruction demonstrates altered neural control resembling type 3 achalasia.

Neurogastroenterol Motil. 2019-7-16

[3]
Pharmacologic interrogation of patients with esophagogastric junction outflow obstruction using amyl nitrite.

Neurogastroenterol Motil. 2019-6-25

[4]
Multiple Rapid Swallows (MRS) Complements Single-Swallow (SS) Analysis for High-Resolution Esophageal Manometry (HREM).

Dig Dis Sci. 2019-2-25

[5]
Upright Integrated Relaxation Pressure Facilitates Characterization of Esophagogastric Junction Outflow Obstruction.

Clin Gastroenterol Hepatol. 2019-1-29

[6]
High-resolution impedance manometry parameters in the evaluation of esophageal function of non-obstructive dysphagia patients.

Neurogastroenterol Motil. 2018-11-13

[7]
Normal Values of Esophageal Distensibility and Distension-Induced Contractility Measured by Functional Luminal Imaging Probe Panometry.

Clin Gastroenterol Hepatol. 2018-8-3

[8]
Esophageal provocation tests: Are they useful to improve diagnostic yield of high resolution manometry?

Neurogastroenterol Motil. 2018-4

[9]
Validation of the oesophageal hypervigilance and anxiety scale for chronic oesophageal disease.

Aliment Pharmacol Ther. 2018-3-12

[10]
Pressure exposure and catheter impingement affect the recorded pressure in the Manoscan 360™ system.

Neurogastroenterol Motil. 2018-3-9

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