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Esophageal manometry is a gastrointestinal examination used, among others, in in the diagnosis of reflux. The test checks if the esophagus is working properly and if not, what is causing the patient's problems. The result of esophageal manometry determines the choice of the surgical technique. In addition, esophageal manometry is helpful for a pH metric test as it locates the lower esophageal sphincter to locate the sensor for a metric pH test.

Esophageal manometryis a test that allows you to detect not onlyrefluxor causes of swallowing problems, but also to diagnose the causes of those retrosternal pains that do not are related to heart disease.

Esophageal manometry: test procedure

Esophageal manometry is a diagnostic test used in gastroenterology in which a multichannel catheter is inserted through the nose into the stomach, which measures the pressure (tension) at the level of the upper and lower esophageal sphincter and within the esophageal musculature. The tension in the sphincter is measured while slowly withdrawing the catheter, and in the esophagus when swallowing small amounts of water. You should not eat or drink for at least six hours prior to the test. The test takes about 30 minutes, the result is available after about 7 days.

Esophageal manometry: indications for the test

  • diagnosis of swallowing disorders: primary shaft motility disorders, achalasia, esophageal spastic diseases (DES, increased LESP, nutcracker esophagus, N | MT), esophageal pain when swallowing,
  • secondary motor abnormalities of the shaft,
  • diagnosis of gastroesophageal reflux disease: complementary diagnosis in comprehensive diagnosis,
  • unusual symptoms of gastro-oesophageal reflux disease, treatment failure of gastro-oesophageal reflux disease,
  • assessment of peristalsis abnormalities before planned fundoplication and esophageal procedures,
  • to locate the ph-H-metric probe
  • diagnostics of retrosternal pain (NCCP - Non Cardiac Chest Pain),
  • in systemic diseases, including the digestive tract (connective tissue diseases, metabolic diseases - diabetes, hypothyroidism),
  • exclusion of oesophageal aetiology of dysphagia and appetite disorders inanorexia.

Esophageal manometry: contraindications for the test

  • no cooperation with the patient,
  • suspicion of a neoplastic lesion,
  • obstruction of the nasal cavity or esophagus,
  • active bleeding from the upper gastrointestinal tract,
  • unstable coronary artery disease.

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