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• W2922496987 abstract "2776_A Figure 1. GI motility Disorders diagnosed on High Resolution Esophageal ManometryIntroduction: Dysphagia is an important alarm symptom of gastrointestinal (GI) tract. Quite often upper GI endocopy reveal nothing significant which could explain dysphagia.Esophageal manometery is an important modality which can be use to evaluate such patient.The present study is aimed to evaluate the usefulness of manometery in the management of patients with dysphagia having normal endoscopy. Methods: Patients with symptoms of dysphagia with normal endoscopy were subjected to esophageal manometry and to barium swallow as a part of routine management.Patients were categorized according to Chigao classification v3.0.Findings of esophageal manometry were compared to barium swallow findings.A follow-up of these patients were done at one year time to evaluate improvement in their symptoms.Patients were categorized as improved,partially improved and no improvement on the basis of > 50% improvement in symptoms,partial improvement<50 % and no improvement or recurrence of symptoms. Results: High resolution esophageal manometry was done in 202 patients,abnormal findings were found in 79.2%;achalasia in 72(35.6%) being the most common finding other manometric findings are given in table 1.Out of 72 patients who were diagnosed to have achalasia on esophageal manometry only 46 patients barium swallow study was consistent with the achalasia diagnosis (35.6 % vs 22.77%, p<0.001) table 2. Among achalasia patients, laprascopic surgery was performed in 22 (30.5%) patients, balloon dilatations in 47 (65.27%) while 3 (4%) had botulinium toxin injection. Response to various treatment modalities for achalasia are shown in table 3. Patients with motility disorder other than achalasia were treated with combination of various treatment modalities, which include proton pump inhibitors, calcium channel blockers, and selective serotonin receptors blockers. Among these patients complete resolution of symptoms were observed in 37/130 (28.44 %) of patients on medications while 25(19.23 %) had partial response however, no effect was seen in 68 (52.3%) patients. Conclusion: Manometry is a useful technique for the evaluation of patients with dysphagia and normal endoscopy. Esophageal manometry can diagnose significantly more patients with achalasia compared to barium swallow. Majority of patients with achalasia improve with dilatation or surgery. While patient with motility disorder other than achalasia has shown poor response to treatment.2776_B Figure 2. Outcome of treatment of Achalasia (n=72)2776_C Figure 3. Manometry versus Barium Swallow" @default.
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• W2922496987 date "2018-10-01" @default.
• W2922496987 modified "2023-09-27" @default.
• W2922496987 title "Usefulness of Esophageal Manometry in Management of Patients With Non-Structural Dysphagia With Normal Endoscopy" @default.
• W2922496987 doi "https://doi.org/10.14309/00000434-201810001-02775" @default.
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