Jandee Sawangpong, Keeratichananont Suriya, Tack Jan, Vanuytsel Tim
Gastroenterology and Hepatology Unit, Division of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Nanthana-Kriangkrai Chotiwattanaphan Institute of Gastroenterology and Hepatology, Songklanagarind Hospital, Hat Yai, Songkhla, Thailand.
J Neurogastroenterol Motil. 2022 Oct 30;28(4):531-539. doi: 10.5056/jnm22082.
Manometry, particularly high-resolution manometry is the preferred diagnostic tool used to evaluate esophageal motor function. This investigation is strongly indicated in the setting of dysphagia, but is also useful in gastroesophageal reflux disease (GERD), especially in case of failure of conventional treatment to exclude alternative diagnoses and prior to anti-reflux surgery. Moreover, ineffective esophagogastric junction barrier function and esophageal motor dysfunction are pathophysiological mechanisms in GERD and can be identified by manometry. The recent international guidelines have positioned high-resolution manometry as an important part of functional diagnostic work up in GERD in order to identify the GERD phenotype to guide specific treatment. The proposed manometric identification and measurement is based on the Chicago classification version 4.0 adding with new established metrics for GERD evaluation.
食管测压，尤其是高分辨率食管测压，是用于评估食管运动功能的首选诊断工具。对于吞咽困难的情况，强烈建议进行此项检查，它在胃食管反流病（GERD）中也很有用，特别是在常规治疗失败以排除其他诊断以及抗反流手术之前。此外，食管胃交界屏障功能无效和食管运动功能障碍是GERD的病理生理机制，可通过食管测压来识别。最近的国际指南已将高分辨率食管测压定位为GERD功能诊断检查的重要组成部分，以便识别GERD表型以指导特定治疗。所提议的测压识别和测量基于芝加哥分类第4.0版，并新增了用于GERD评估的既定指标。
