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Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
Published on: December 14, 2020
How to perform and interpret upper esophageal sphincter manometry.
1Department of Gastroenterology, Seth G S Medical College and K E M Hospital, Mumbai, India.
Journal of Neurogastroenterology and Motility
|January 26, 2013
Summary
Upper esophageal sphincter (UES) manometry offers insights into swallowing but presents technical challenges. High-resolution manometry is crucial for accurately assessing pharyngeal function and UES relaxation in patients with oropharyngeal dysphagia.
Area of Science:
- Gastroenterology
- Swallowing Physiology
Background:
- Pharyngeal manometry and upper esophageal sphincter (UES) manometry provide critical data on the swallowing mechanism.
- UES manometry is technically demanding due to sphincter asymmetry and movement during swallowing.
Purpose of the Study:
- To highlight the importance and challenges of UES manometry.
- To emphasize its utility in diagnosing oropharyngeal dysphagia.
Main Methods:
- High-frequency recording using solid-state transducers is necessary to capture rapid pressure changes.
- High-resolution manometry is recommended for accurate UES pressure measurements.
Main Results:
- UES manometry is not routinely indicated during standard esophageal manometry.
- It is particularly valuable for evaluating patients experiencing oropharyngeal dysphagia.
Conclusions:
- UES manometry, despite technical difficulties, is essential for detailed swallowing mechanism assessment.
- Its primary clinical application lies in the diagnosis of oropharyngeal dysphagia.
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