An ANMS-NASPGHAN consensus document on esophageal and antroduodenal manometry in children

Area of Science:

• Pediatric Gastroenterology
• Gastrointestinal Motility Disorders
• Diagnostic Techniques

Background:

• Upper gastrointestinal symptoms are frequent in children, with motility disorders being a key consideration.
• High-resolution esophageal manometry (HRM) has significantly advanced esophageal physiology studies.
• Impedance and antroduodenal motility testing offer further insights into upper GI and small bowel function.

Purpose of the Study:

• To review recent progress in pediatric esophageal and antroduodenal motility testing.
• To detail indications, preparation, performance, and interpretation of these diagnostic tests.
• This review is the second part of a series on pediatric manometry, endorsed by NASPGHAN and ANMS.

Main Methods:

• Review of current literature on pediatric esophageal and antroduodenal motility testing.
• Discussion of high-resolution esophageal manometry (HRM) and impedance techniques.
• Analysis of antroduodenal manometry applications in pediatric diagnosis.

Main Results:

• Recent advances have enhanced the diagnostic capabilities for pediatric GI motility disorders.
• HRM and impedance provide detailed functional information about the esophagus.
• Antroduodenal manometry offers crucial data on gastric and small bowel motility.

Conclusions:

• Pediatric motility testing, including HRM and antroduodenal manometry, is essential for diagnosing GI disorders.
• Understanding these advanced techniques improves patient care and diagnostic accuracy.
• This review provides an updated guide for clinicians on these important pediatric GI diagnostic tools.