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High Resolution Manometry Introduction2

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Information about High Resolution Manometry Introduction2

Published on October 16, 2007

Author: dubeczattila

Source: slideshare.net

Description

High Resolution Manometry
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High-Resolution Manometry Basic overview Attila Dubecz

Catheter like NG tube (flexible) 36 solid-state pressure sensors spaced at 1-cm intervals spans the entire esophagus measures esophageal motility

like NG tube (flexible)

36 solid-state pressure sensors spaced at 1-cm intervals

spans the entire esophagus

measures esophageal motility

Measurement - Conventional C H A N E L S

2D – 3D

3D spatio-temporal plot

3D to 2D Contour plot

Measurment - HRM

Classic achalasia No peristalsis, impaired LES

Achalasia ?

LES Relaxation? Relaxation?

No Relaxation

Primary motility disorders high amplitude > 180Hgmm double peak normal normal increased >40 Hgmm Nutcracker prolonged > 6sec, high amplitude double peak normal normal + simultaneous > 30% increased >40 Hgmm DES > 60Hgmm contractions incomplete simultaneous hypertensive Vigorous achalasia high resting intraesophageal pressures incomplete simultaneous hypertensive Achalasia BODY LES RELAXATION PERISTALSIS LES PRESSURE MOTILITY DISORDER

Thank you!

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