Esophageal manometry profile in patients of upper gastrointestinal symptoms in western india: a retrospective cohort study
Abstract
INTRODUCTION: High-resolution esophageal manometry (HREM) is a technique to determine the pressure pattern
which is a function of esophageal musculature and integrity of LES. The indications for HREM evaluation include
evaluation of nonobstructive dysphagia, symptoms of regurgitation and noncardiac or atypical chest pain unexplained
by endoscopic evaluation To analyse profile of esophageal motility disorders in patient presenting with refractoryAIM:
gastroesophageal reflux disease (GERD), dysphagia and atypical chest pain in tertiary care centre in Western India
METHODS: We enrolled patient presented with refractory GERD, dysphagia and atypical chest pain from Jan 2020 to
March 2022 at Department of gastroenterology, National Institute of Medical College & R, Jaipur. Upper GI endoscopy
and high-resolution esophageal manometry was done in all patients Ineffective esophageal peristalsis,RESULTS:
achalasia cardia, hypercontractile esophagus, fragmented peristalsis and esophagogastric junction outflow obstruction
were common diagnosis made by high resolution esophageal manometry In our study ineffectiveConclusion:
esophageal motility most common and achalasia cardia second most common diagnosis identified on esophageal
manometry
How strong is the evidence?
Evidence Hub reads this as a cohort study, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence.
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