Esophageal motility disorders: application of high resolution manometry

Authors

Keywords:

esophagus, esophageal motility, esophageal motor disorders, Highresolution esophageal manometry

Abstract

Introduction: The esophagus is a tubular organ of the digestive system, with a complex innervation that guarantees the coordination of its movements, which allows the transport of the food bolus from the pharynx to the stomach. An exhaustive bibliographic search was carried out on the morphophysiology of the esophagus (HRM), its motor disorders and the usefulness of manometry. 24 articles contained in SciELO and Pubmed were reviewed

Objective: To describe the usefulness of high resolution esophageal manometry in the diagnosis of motor disorders of the esophagus, taking into account its morphofunctional bases.

Development: Esophageal manometry is a minimally invasive technique that evaluates the motility of the esophagus, by recording intraluminal pressures and the coordination of the esophageal muscles.

Conclusions: High-resolution esophageal manometry is a useful tool for the diagnosis of esophageal motor disorders, where achalasia and gastroesophageal reflux disease stand out as the most frequent.

Downloads

Download data is not yet available.

References

1. Espinosa D, Dovale A, Gámez M. Morfofisiología de la boca, la faringe y el esófago. En: Colectivo de autores. Morfofisiología III. La Habana: Encimed; 2015. 321-34.

2. Martínez Leyva L, Anido Escobar V, Amable Días T, Días Drake Z, Brizuela Quinanilla RA, Veitía Wilson EC, et al. Manometría de alta resolución en pacientes con trastornos motores esofágicos. Rev Cub Med Milit [Internet]. 2021 [citado 15/03/2021];50(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572021000200021&lng=es

3. Pérez N, Lugo-Zamudio G, Barbosa-Cobos RG, Wong-Lam A, Torres-López E. Frecuencia de alteraciones motoras detectadas por manometría en pacientes con síntomas esofágicos y esclerodermia. Rev Gastrog Mex [Internet]. 2017 [citado 15/03/2021];82(2):193-95. Disponible en: https://doi.org/10.1016/j.rgmx.2016.10.004

4. Pandolfino JE, Kahrilas PJ. Función neuromuscular del esófago y trastornos de la motilidad esofágica. En: Feldman M, Friedman LS, Sleisenger MH. Enfermedades Gastrointestinales y Hepáticas. Madrid: Editorial Medica Panamericana; 2018.

5. Córdova Pluma VH, Vega López CA, Esparza Aguilar EA, Abreu Ramos OA. La pH-metría y la manometría esofágica como estudios útiles en Medicina Interna. Med Int Mex [Internet]. 2011 [citado 15/03/2021];27(3):253-69. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=30844#

6. Vallejo Valdivieso PA, Zambrano Pincay GH, Vallejo Valdivieso NK, Vallejo Pilligua, PY, Bravo Cedeño JE, Bravo Cedeño GM; et al. Bases morfofisiopatológicas del aparato digestivo. Alicante: Editorial Área de Innovación y Desarrollo, S.L.; 2019.

7. Madanick R, Orlando RC. Anatomía, histología, embriología y anomalías del desarrollo del esófago. En: Feldman M, Friedman LS, Sleisenger MH. Enfermedades Gastrointestinales y Hepáticas. Madrid: Editorial Medica Panamericana; 2018.

8. Guyton AC, Hall JE. Tratado de Fisiología Medica. 13 ed. Philadelphia: Elsevier; 2016. 809-43.

9. Santaella-Leiva I. Neurofisiología esofágica y técnicas diagnósticas. RADP ONLINE [Internet]. 2017 [citado 15/03/2021];40(3):125-31. Disponible en: https://www.sapd.es/rapd/2017/40/3/02/resumen

10. Schlottmann F, Patti MG. Primary Esophageal Motility Disorders: Beyond Achalasia. Int J Mol Sci [Internet]. 2017 [citado 15/03/2021];18(7):1399. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5535892/#__ffn_sectitle

11. Ganong W. Review of Medical Physiology. 25th ed. New York: Mc Graw Hill Education; 2016.

12. Khan MA, Kumbhari V, Ngamruengphong S, Ismail A, Chen YI, Chavez YH, et al. Is POEM the Answer for Management of Spastic Esophageal Disorders? A Systematic Review and Meta-Analysis. Dig Dis Sci [Internet]. 2017 [citado 15/03/2021]; 62:35-44. Disponible en: https://doi.org/10.1007/s10620-016-4373-1

13. Carlson DA, Lin Z, Kahrilas PJ, Sternbach J, Hungness ES, Soper NJ, et al. High-Resolution Impedance Manometry Metrics of the Esophagogastric Junction for the Assessment of Treatment Response in Achalasia. Am J Gastroenterol [Internet]. 2016 [citado 15/03/2021];111(12):1702-10. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27698386/

14. Sanagapalli S, Roman S, Hastier A, Leong RW, Patel K, Raeburn A, et al. Achalasia diagnosed despite normal integrated relaxation pressure responds favorably to therapy. Neurogastroenterol Mot [Internet]. 2019 [citado 15/03/2021];31(6): e13586. Disponible en: https://doi.org/10.1111/nmo.13586

15. Herbella FA, Armijo PR, Patti MG. A pictorial presentation of 3.0 Chicago Classification for esophageal motility disorders. Einstein [Internet]. 2016 [citado 15/03/2021];14(3):439-42. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26958977/

16. Shi Z, Guo J, Clarke J, Jin H, Wang X, Zhang N, et al. Roles of High-resolution Manometry in Predicting Incomplete Bolus Transit in Patients With Dysphagia. J Clin Gastroenterol [Internet]. 2018 [citado 15/03/2021];52(9): e73. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29095422/

17. Andolfi C, Fisichella PM. Meta-analysis of clinical outcome after treatment for achalasia based on manometric subtypes. Br J Surg [Internet]. 2019 [citado 15/03/2021];106(4):332-41. Disponible en: https://doi.org/10.1002/bjs.11049

18. Hani A, Bernal W, Leguízamo AM, Zuluaga C, Vargas R, Vergara H, et al. Cómo realizar e interpretar una manometría esofágica de alta resolución usando la clasificación de Chicago 3.0. Rev Colomb Gastroenterol [Internet]. 2017 [citado 15/03/2021];32(4):369-78. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-99572017000400369&lng=en.

19. Triggs JR, Carlson DA, Beveridge C, Jain A, Tye MY, Kahrilas PJ, et al. Upright integrated relaxation pressure facilitates characterization of esophagogastric junction outflow obstruction. Clin Gastroenterology and Hepat [Internet]. 2019 [citado 15/03/2021];17(11):2218-26. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S1542-3565(19)30071-0

20. Yeo C. JShackelford's Surgery of the Alimentary Tract, E-Book. Países Bajos: Elsevier Health Sciences; 2017.

21. Yadlapati R. High-Resolution Esophageal Manometry: Interpretation in Clinical Practice. Curr Opin Gastroenterol [Internet]. 2017 [citado 15/03/2021];33(4):301-9. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28426462/

22. Kahrilas PJ, Bredenoord AJ, Fox M, Gyawali CP, Roman S, Smout AJ, et al. International high resolution manometry working group. The Chicago classification of esophageal motility disorders, v3.0. Neurogastroenterol Motil [Internet]. 2015 [citado 15/03/2021] 2015; 27(2):160-74. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25469569/

23. Mion F. Achalasia guideline: another step towards standardization of its management. United European Gastroenterology Journal [Internet]. 2020 [citado 15/03/2021];8(1):9-10. Disponible en: https://doi.org/10.1177/2050640620902570

24. Escobar VA, Amable Días T, Labrada Sosa M, Armenteros Torres MC, Díaz Drake Z. La manometría de alta resolución en los trastornos motores del esófago. Introducción en Cuba. Rev Hab Cien Med [Internet]. 2020 [citado 15/03/2021];19(4). Disponible en: http://www.revhabanera.sld.cu/index.php/rhab/article/view/3150/2658

Downloads

Published

2023-05-01

How to Cite

1.
Avila-Pérez M de la C. Esophageal motility disorders: application of high resolution manometry. MedEst [Internet]. 2023 May 1 [cited 2024 Dec. 12];3(1):e80. Available from: https://revmedest.sld.cu/index.php/medest/article/view/80

Issue

Vol. 3 No. 1 (2023)

Section

REVIEW ARTICLES

License

Those authors who have publications with this journal accept the following terms: The authors will retain their copyright and guarantee the journal the right of first publication of their work, which will be simultaneously subject to the Recognition License. Creative Commons that allows third parties to share the work as long as its author and its first publication in this magazine are indicated. Authors may adopt other non-exclusive license agreements for the distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a monographic volume) as long as the initial publication in this journal is indicated. Authors are allowed and recommended to disseminate their work through the Internet (e.g.: in institutional telematic archives or on your website) before and during the submission process, which can produce interesting exchanges and increase citations of the published work.