Endoscopy- and Monitored Anesthesia Care-Assisted High-Resolution Impedance Manometry Improves Clinical Management
Joint Authors
Xie, Guofeng
Morris, John D.
Christian, Kaci E.
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-08-07
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
High-resolution impedance manometry (HRiM) is the test of choice to diagnose esophageal motility disorders and is particularly useful for identifying achalasia subtypes, which often guide therapy.
HRiM is typically performed without sedation in the office setting.
However, a substantial number of patients fail this approach.
We report our single-center experience on endoscopy-assisted HRiM under monitored anesthesia care (MAC) in adults to demonstrate the feasibility and effectiveness of this approach.
Methods.
Patients who had failed prior HRiM attempts received propofol under MAC.
Patients then underwent an upper endoscopy, followed immediately by passage of a Diversateck HRiM motility catheter through the nares and under direct visualization into the stomach, often using the tip of the endoscope to guide the catheter.
We then awakened the patients and asked them to perform 10 saline swallows.
Results.
We successfully completed HRiM studies in 14 consecutive patients.
Six patients had achalasia; two had esophagogastric junction outflow obstruction; two had absent contractility; one had distal esophageal spasm; one had ineffective esophageal motility; and one had a normal study.
The majority of these patients were treated successfully with targeted interventions, including per oral endoscopic myotomy, gastrostomy, botox injection, medical therapy, and dietary modifications.
American Psychological Association (APA)
Christian, Kaci E.& Morris, John D.& Xie, Guofeng. 2018. Endoscopy- and Monitored Anesthesia Care-Assisted High-Resolution Impedance Manometry Improves Clinical Management. Case Reports in Gastrointestinal Medicine،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1143697
Modern Language Association (MLA)
Christian, Kaci E.…[et al.]. Endoscopy- and Monitored Anesthesia Care-Assisted High-Resolution Impedance Manometry Improves Clinical Management. Case Reports in Gastrointestinal Medicine No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1143697
American Medical Association (AMA)
Christian, Kaci E.& Morris, John D.& Xie, Guofeng. Endoscopy- and Monitored Anesthesia Care-Assisted High-Resolution Impedance Manometry Improves Clinical Management. Case Reports in Gastrointestinal Medicine. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1143697
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143697