esophageal manometry - indications and patient preparation

Contents:

1. When appointed?

2. Contraindications

3. How to prepare?

esophageal manometry (esophageal motility study) is a method of diagnosis, during which measured the force reduction (pressure) of the esophagus muscles and their interaction when swallowing.Virtually all of the esophageal diseases have similar symptoms, it is very complicated diagnosis.Esophageal motility study helps medical professionals to differentiate the disease.

reduce esophageal muscle disorders often cause chest pain and dysphagia (swallowing disorder).Contractile activity of the esophagus is estimated by various methods (impedancemetry, radiography, scintigraphy of the esophagus), but the most informative method of diagnosis is considered manometry.The procedure makes it possible to evaluate the motor function directly.With it, the doctor evaluates the function of the pharynx, upper esophageal sphincter, esophageal body and lower esophageal sphincter.

To insert the catheter to the patient to take a sitting

position.If for any reason you can not use a pressure gauge through the mouth, the manipulation is carried out through the nose.However, this method is not suitable for those with narrow nasal passages and nasal deformities.After the introduction of the catheter into the patient's esophagus are asked to lie down.The study itself usually takes about half an hour, and the analysis and interpretation of the results may take several days.

After esophageal manometry doctors do not prescribe any restrictions in the diet.Discomfort in the throat, which may arise after the examination, pass quickly and independently.

Sometimes esophageal manometry can cause complications such as:

  • bronchospasm;
  • arrhythmia;
  • nosebleeds;
  • runny nose;
  • sore throat;
  • nausea;
  • esophageal perforation.

When appointed?

Indications for esophageal manometry are:

  • Dysphagia and systemic diseases associated with impaired swallowing.
  • Preparation for surgery for correction of gastroesophageal reflux.
  • monitoring after surgery for correction of reflux.
  • chest pain with no visible changes in the mucous layer of the esophagus at upper GI endoscopy.
  • Heartburn.
  • Evaluation of esophageal condition before pH meter and some other studies.

Contraindications

esophageal manometry has the following contraindications:

  • Mental disorders.
  • bleeding disorders.
  • presence of esophageal tumors.
  • varicose veins of the esophagus, esophageal ulcers, strictures and diverticula.

How to prepare?

esophageal manometry requires the patient's pre-treatment.On the eve of the study (after midnight) the patient is strictly forbidden to take food and liquid.If the test is regularly taking certain medications, the day before they should drink a minimum of water.In addition, prior esophageal motility study should not take sedative medications, analgesic (pain relievers) and antispasmodic drugs.

key to the success of the esophageal motility study is considered to be outreach to patients.The medical specialist is obliged to tell the patient about the safety of the study and during the procedure, as well as to warn about the possible complications.

Immediately prior esophageal motility study esophageal mucosa anesthetized with lidocaine (in the form of a spray) to suppress the gag reflex.

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