Prolonged ambulatory colonic manometric studies using endoclips

Is Endoscopic Mucosal Clipping Useful for Preventing Colonic Manometry Probe Displacement?

“…16 Furthermore, similar to our finding, they reported that clipping was not associated with any complication. In another small study of colonic manometry, placement of hemostatic clips has been described using a technique similar to ours.…”

“…Although anchoring the manometry catheter to the colonic mucosa with hemostatic clips has been described, there has been no systematic evaluation of the efficacy of this technique. 6,16 Here, we assessed the utility of endoscopic mucosal clipping as a method of improving spatiotemporal resolution of transducers and maintaining sensor location in the colon, by a randomized case-control study in healthy subjects undergoing prolonged ambulatory colonic manometry.…”

Day-to-day reproducibility of prolonged ambulatory colonic manometry in healthy subjects

“…Also, gender,13,32 age,33 sleep pattern,11 stress,3,34 and differences in colonic contents may influence intrinsic activity of the colon 5. Extrinsic factors include sensor localization10,21 and migration,26,27 non-physiological conditions (sedation, prolonged immobilization, stressful laboratory environment, bowel preparation with complete evacuation of stool)16,17 and use of different instrumentation (solid-state manometers vs. perfused tube manometry) 8,9,12…”

“…Once the location of the probe was confirmed by fluoroscopy, the silk thread was released, freeing the probe. Subsequently, a clip-fixing device was introduced through the biopsy channel and the silk sutures located at the tip and at three other sites on the probe were clipped to the colonic mucosa) using mucosal clips (Olympus America Inc, Melville, NY) 26,27. The snare was removed.…”

Clinical Utility of Colonic and Anorectal Manometry in Chronic Constipation

“…Although anchoring the manometry catheter to the colonic mucosa with hemostatic clips has been described, there has been no systematic evaluation of the efficacy of this technique. 6,16…”