High resolution manometry in patients with esophageal motor disorders
Keywords:
high resolution manometry, esophageal motor disorders, Chicago classification.Abstract
Introduction: High-resolution manometry is the gold standard for the study of esophageal motor disorders.Objective: A descriptive, cross-sectional research was carried out in el Centro Nacional de Cirugía de Mínimo Acceso, between September 2018 and December 2019, in 56 patients, diagnosed with esophageal motor disorder by high-resolution manometry, aged between 18 and 20 years, who gave their consent to participate in the study. Esophageal achalasia and minor peristalsis disorders were excluded. The variables included were: age, sex, manometric diagnoses and their characteristics, symptoms, types of esophagogastric junction, imaging or endoscopic diagnoses. For the analysis of the results, the percentage, measures of central tendency and Pearson's chi square of homogeneity were used, with a level of statistical significance p ≤ 0.05 and 95 % reliability.
Development: Absent contractility (39,28 %), female sex (58,9 %) and dysphagia (66,07 %) predominated. The obstruction to the flow of the esophagogastric junction corresponded to the highest mean resting pressure of the lower esophageal sphincter (43,28 mmHg) and the mean integrated pressure ratio above 15 mmHg (38,88 mmHg). The hypercontractil esophagus presented mean high integrated distal contractility (5564,25 mmHg/s/cm). Rapid contractions were found in distal esophageal spasm (mean 21,4 cm/s).
Conclusions: High resolution manometry was feasible to be used for the diagnosis of major esophageal motor disorders.
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References
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4. Escobar Vivianne A, Amable Díaz T, Labrada Sosa M, Armenteros Torres MC, Díaz Drake Z. La manometría de alta resolución en los trastornos motores del esófago Introducción en Cuba. Rev haban cienc méd. 2020 [acceso: 16/03/2020]; 19(4): e3150. Disponible en: https://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729-519X2020000500006&lng=es
5. Casado Caballero FJ, Delgado Maroto A, Íñigo Chaves A. Disfagia esofágica y trastornos motores de esófago. RAPD. 2017[acceso:16/03/2020];40(1):35-42. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=6275746
6. Van Hoeij F, Bredenoord A. Clinical application of esophageal high resolution manometry in the diagnosis of esophageal motility disorders. J Neurogastroenterol Motil. 2016 [acceso: 16/03/2020]; 22(1):6-13. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26631942/
7. Spechler SJ, Castell DO. Classification of esophageal motility abnormalities. Gut. 2001 [acceso: 16/03/2020];49(1):145-51. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1728354/pdf/v049p00145.pdf
8. García N, Brizuela RA. Espasmo esofágico difuso. Revista de Ciencias Médicas. La Habana. 2013[acceso: 16/03/2020]; 19(2):260-267. Disponible en: https://revcmhabana.sld.cu/index.php/rcmh/article/viewFile/589/1016
9. Kahrilas PJ, Bredenoord AJ, Fox M, Gyawali CP, Roman S, Smout AJ, et al. The Chicago Classification of esophageal motility disorders, v3.0. Neurogastroenterol Motil. 2015 [acceso: 16/03/2020]; 27(2):160-74. Disponible en: https://doi.org/10.1111/nmo.12477
10. Pose AN, Reyest L, Saona MG, Umpierre V. ME en pacientes con disfagia, reflujo gastroesofágico y dolor torácico no cardíaco. Utilidad diagnóstica. Rev Med Urug. 2009 [acceso: 16/03/2020]; 25:34-44. Disponible en: https://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-03902009000100005&lng=es
11. Pérez López N, Dávila Zenteno RM, Zamarripa Dorsey F. Características demográficas, clínicas y manométricas de los pacientes con diagnóstico de obstrucción de salida de la unión esofagogástrica por manometría de alta resolución. Revista de Gastroenterología de México. 2017[acceso: 16/03/2020]; 82(2):84-126. Disponible en: https://www.revistagastroenterologiamexico.org/es-pdf-X0375090617621228
12. Pandolfino JE, Ghosh SK, Rice J, Clarke JO, Kwiatek MA, Kahrilas PJ. Classifying esophageal motility by pressure topography characteristics: a study of 400 patients and 75 controls. Am J Gastroenterol. 2008 [acceso: 12/12/2020]; 103:27-37. Disponible en: https://insights.ovid.com/pubmed?pmid=17900331
13. Roman S, Tutuian R. Esophageal hypertensive peristaltic disorders. Neurogastroenterol Motil. 2012 [acceso: 16/03/2020]; 24(1):32-9. Disponible en: https://doi.org/10.1111/j.1365-2982.2011.01837.x
14. Martín Domínguez V, Pérez Fernández MT, Marinero A, Jusué V, Caldas M, Santander C. Esófago hipercontráctil: contexto clínico y hallazgos motores en la MAR. 2015[acceso: 16/03/2020]; 107 (5): 274-279. Disponible en: https://scielo.isciii.es/pdf/diges/v107n5/es_original4.pdf
15. Prieto Ortiz RG, Gómez Venegas AA, Hani de Ardila AC. Esófago en martillo neumático (Jackhammer), serie de casos y revisión del tema. Revista Colombiana de Gastroenterología. 2016[acceso: 16/03/2020]; 31(3):253-61. Disponible en: https://www.scielo.org.co/pdf/rcg/v31n3/v31n3a09.pdf
16. García Lledó J, Clemente Sánchez A, Merino Rodríguez B, Nogales Rincón O, González Asanza C, Fernández Pacheco PM. Esófago hipercontráctil Jackhammer. Rev esp enferm dig. 2015 [acceso: 16/03/2020]; 107 (4): 234. Disponible en: https://scielo.isciii.es/pdf/diges/v107n4/es_imagenes4.pdf
17. Valdovinos García LR, Horsley Silva JL, Crowell MD, Valdovinos Días MA, Vela Aquino MF. Revista de Gastroenterología de México. 2019[acceso: 16/03/2020]; 84(2):1-5.Disponible en: https://www.revistagastroenterologiamexico.org/es-pdf-X0375090619002050
Published
2021-06-14
How to Cite
1.
Martínez Leyva L, Anido Escobar VM, Amable Días T, Días Drake Z, Brizuela Quintanilla RA, Oliva Rey JC, et al. High resolution manometry in patients with esophageal motor disorders. Rev Cubana Med Milit [Internet]. 2021 Jun. 14 [cited 2025 Jan. 10];50(2):e02101286. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1286
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