Utility of Esophagram versus High‐Resolution Manometry in the Detection of Esophageal Dysmotility

O’Rourke, Ashli; Lazar, Andreea; Murphy, B. A.; Castell, Donald O.; Martin‐Harris, Bonnie

doi:10.1177/0194599816629379

Cited by 41 publications

(27 citation statements)

References 11 publications

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“…Good concordance between barium and manometry for the diagnosis of achalasia was also reported by Anumandla et al [16]. Our radiographic sensitivity was relatively higher compared to some other studies such as O'Rourke et al reported a very low sensitivity of barium swallow (29%) for diagnosis of achalasia [17]. Whereas Howard et al reported that radiographic findings were consistent with the manometric diagnosis of achalasia in 45% patients [18].…”

Section: Discussionsupporting

confidence: 81%

Spectrum and Clinical Outcome of Motility Disorders on High-Resolution Esophageal Manometry: A Study From a Tertiary Center on Patients With Dysphagia in Pakistan

Rehman¹,

Abid²,

Awan³

et al. 2020

Cureus

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Section: Discussionsupporting

confidence: 81%

Spectrum and Clinical Outcome of Motility Disorders on High-Resolution Esophageal Manometry: A Study From a Tertiary Center on Patients With Dysphagia in Pakistan

Rehman¹,

Abid²,

Awan³

et al. 2020

Cureus

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“…In two studies, the diagnostic values of imaging techniques were compared to manometry 10,11 . The results of these two studies lend some support to the notion that manometry rather than imaging is the gold standard for the diagnosis of achalasia.…”

Section: Achalasia Diagnosismentioning

confidence: 96%

European guidelines on achalasia: United European Gastroenterology and European Society of Neurogastroenterology and Motility recommendations

et al. 2020

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Introduction Achalasia is a primary motor disorder of the oesophagus characterised by absence of peristalsis and insufficient lower oesophageal sphincter relaxation. With new advances and developments in achalasia management, there is an increasing demand for comprehensive evidence-based guidelines to assist clinicians in achalasia patient care. Methods Guidelines were established by a working group of representatives from United European Gastroenterology, European Society of Neurogastroenterology and Motility, European Society of Gastrointestinal and Abdominal Radiology and the European Association of Endoscopic Surgery in accordance with the Appraisal of Guidelines for Research and Evaluation II instrument. A systematic review of the literature was performed, and the certainty of the evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation methodology. Recommendations were voted upon using a nominal group technique. Results These guidelines focus on the definition of achalasia, treatment aims, diagnostic tests, medical, endoscopic and surgical therapy, management of treatment failure, follow-up and oesophageal cancer risk. Conclusion These multidisciplinary guidelines provide a comprehensive evidence-based framework with recommendations on the diagnosis, treatment and follow-up of adult achalasia patients.

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“…It is also recommended that the esophagus is included in the fluoroscopic assessment of the pharynx as carried out by speech pathologists. [28][29][30][31] Such evaluation has been shown to have 63% sensitivity and 100% specificity for esophageal abnormalities. 30 This does not replace a formal esophagogram if indicated.…”

Section: The Oropharyngeal Assessmentmentioning

confidence: 99%

“…23 A fluoroscopic examination is less sensitive to dysmotility than manometric investigations and, therefore, if there is suspicion of motility problems, pharyngoesophageal manometry is indicated. 31 Currently available esophageal investigations are often complementary, and a combination of investigations may be required to achieve an accurate diagnosis. This needs to be tailored to a patient's degree of concern, functional impact, and existing risk factors.…”

Section: The Oropharyngeal Assessmentmentioning

confidence: 99%

“…In many cases, patients with problematic oropharyngeal dysphagia undergo clinical history and examinations, and then, where appropriate, an instrumental oropharyngeal assessment (VFSS or FEES). It is also recommended that the esophagus is included in the fluoroscopic assessment of the pharynx as carried out by speech pathologists 28–31 . Such evaluation has been shown to have 63% sensitivity and 100% specificity for esophageal abnormalities 30 .…”

Section: The Esophageal Assessmentmentioning

confidence: 99%

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Aspects of the assessment and management of pharyngoesophageal dysphagia

Allen

Dewan

Herbert

et al. 2020

Annals of the New York Academy of Sciences

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Swallowing complaints are common and may have significant consequences for nutrition and pulmonary health. Etiology varies and different aspects of the deglutitive system may be affected. A thorough assessment from the oral cavity to the stomach will provide physiologic information that enables specific targeted management plans to be devised. Although the swallow trajectory bridges anatomic areas, there has previously been a tendency to compartmentalize assessment and treatment by arbitrary anatomic boundaries. It is now clear that this approach fails to appreciate the complexity of swallow mechanics and that systems (oral, pharyngeal, esophageal, and pulmonary) are intertwined and codependent. Swallowing specialists from different backgrounds and with complementary skill sets form a multidisciplinary team that can provide insight and address multiple areas of management. With the advent of new tools for instrumental evaluation, such as manometry, targeted rehabilitative strategies can be informed by physiology, increased in precision and breadth, and assessed quantitatively. Surgical approaches have evolved toward endoscopic techniques, and food technology is expanding options in dietary management. The multidisciplinary team is core to managing this varied and often neglected patient population. This review is for clinicians treating swallowing disorders and will explore the selected aspects of the assessment and management of pharyngoesophageal swallowing disorders.

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Utility of Esophagram versus High‐Resolution Manometry in the Detection of Esophageal Dysmotility

Cited by 41 publications

References 11 publications

Spectrum and Clinical Outcome of Motility Disorders on High-Resolution Esophageal Manometry: A Study From a Tertiary Center on Patients With Dysphagia in Pakistan

Spectrum and Clinical Outcome of Motility Disorders on High-Resolution Esophageal Manometry: A Study From a Tertiary Center on Patients With Dysphagia in Pakistan

European guidelines on achalasia: United European Gastroenterology and European Society of Neurogastroenterology and Motility recommendations

Aspects of the assessment and management of pharyngoesophageal dysphagia

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