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Antroduodenal manometry: experience from a tertiary care center
Uday C Ghoshal1, Maneesh Paliwal, Kshaunish Das
1Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. ghoshal@sgpgi.ac.in
Summary
Antroduodenal manometry (ADM) aids diagnosis in chronic intestinal pseudo-obstruction (CIPO) and gastroparesis, guiding treatment decisions. Its utility is limited for nonspecific symptoms.
Area of Science:
- Gastroenterology
- Clinical Diagnostics
- Gastrointestinal Motility Disorders
Background:
- Antroduodenal manometry (ADM) is a valuable research tool with limited documented clinical utility.
- Experience with ADM in routine clinical practice is scarce.
Purpose of the Study:
- To evaluate the clinical utility of antroduodenal manometry (ADM) in a real-world setting.
- To assess the impact of ADM on patient diagnosis and management.
Main Methods:
- Retrospective analysis of all ADM procedures performed as a clinical service.
- Utilized an 8-channel water perfusion system.
- Classified impact on management into new diagnoses, treatment changes, further investigations, and referrals.
Main Results:
- ADM was successful in 97% of patients (32/33).
- In chronic intestinal pseudo-obstruction (CIPO) and gastroparesis, ADM led to new diagnoses, medication changes, surgical decisions, and specialist referrals.
- ADM was normal in dyspeptic patients, with no therapy changes indicated.
Conclusions:
- Antroduodenal manometry (ADM) is clinically useful for diagnosing CIPO and gastroparesis.
- ADM assists in surgical decision-making for gastrointestinal motility disorders.
- The utility of ADM is limited when used for nonspecific indications.
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