Microbial overgrowth in water perfusion equipment for esophageal/rectal motility

Oesophageal high-resolution manometry: moving from research into clinical practice

“…Some concern has been expressed at the safety implications of multiple use nasogastric catheters;84 however, reports of disease transmitted by manometry are extremely rare and disposable sheaths are available for at least one solid-state HRM catheter. Expense is an important limitation of HRM compared to conventional manometry and, in the absence of outcome studies, the cost-effectiveness of this procedure cannot be assessed.…”

Solid state biliary manometry catheter: Impact on diagnosis and post-study pancreatitis

“…Concerns have been raised about contamination of the devices used for perfusion manometry of the gastrointestinal tract [11]. The potential limitations of the SOM perfusion technique described previously in this review and the issue of low reimbursement for this procedure in countries other than the United States have led to very low use of SOM, for example in Europe.…”