Article ; Online: High-resolution manometry in clinical practice: utilizing pressure topography to classify oesophageal motility abnormalities.
2009 Volume 21, Issue 8, Page(s) 796–806
Abstract: ... resolution oesophageal pressure topography (HROPT) to the clinical evaluation of patients. The first ... clarify the utility of pressure topography plotting in assessing oesophageal motility disorders. ... with pressure topography plotting represents an unquestionable evolution in oesophageal manometry ...
Abstract | High-resolution manometry capable of pressure monitoring from the pharynx to the stomach together with pressure topography plotting represents an unquestionable evolution in oesophageal manometry. However, with this advanced technology come challenges and one of those is devising the optimal scheme to apply high-resolution oesophageal pressure topography (HROPT) to the clinical evaluation of patients. The first iteration of the Chicago classification was based on a systematic analysis of motility patterns in 75 control subjects and 400 consecutive patients. This review summarizes the analysis process as it has evolved. Individual swallows are analysed in a stepwise fashion for the morphology of the oesophagogastric junction (OGJ), the extent of OGJ relaxation, the propagation velocity of peristalsis, the vigour of the peristaltic contraction, and abnormalities of intrabolus pressure utilizing metrics that have now been customized to HROPT. These results are then synthesized into a comprehensive diagnosis that, although based on conventional manometry criteria, is also customized to HROPT measures. The resultant classification objectifies the identification of three unique subtypes of achalasia. Additionally, it provides enhanced detail in the description of distal oesophageal spasm, nutcracker oesophagus subtypes, and OGJ obstruction. It is our expectation that modification of this classification scheme will continue to occur and this should further clarify the utility of pressure topography plotting in assessing oesophageal motility disorders. |
|||||
---|---|---|---|---|---|---|
MeSH term(s) | Algorithms ; Deglutition ; Esophageal Motility Disorders/classification ; Esophageal Motility Disorders/diagnosis ; Humans ; Manometry/methods ; Pressure | |||||
Language | English | |||||
Publishing date | 2009-04-22 | |||||
Publishing country | England | |||||
Document type | Journal Article ; Research Support, N.I.H., Extramural ; Review | |||||
ZDB-ID | 1186328-6 | |||||
ISSN | 1365-2982 ; 1350-1925 | |||||
ISSN (online) | 1365-2982 | |||||
ISSN | 1350-1925 | |||||
DOI | 10.1111/j.1365-2982.2009.01311.x | |||||
Shelf mark |
|
|||||
Database | MEDical Literature Analysis and Retrieval System OnLINE |
Full text online
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
Zs.A 2979: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.