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High-resolution esophageal manometry in children

Yogesh Waikar1

  • 1Superspeciality GI Clinics & Endoscopy Center, Dhantoli, Nagpur, India.

Clinical and Experimental Pediatrics
|October 20, 2022
PubMed

Insights

High-resolution esophageal manometry aids in diagnosing pediatric esophageal dysmotility. Careful application of the Chicago 4.0 classification is recommended for effective management of swallowing and feeding issues in children.

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Motility Disorders

Background:

  • Esophageal dysmotility disorders encompass functional esophageal conditions.
  • Esophageal manometry is a key diagnostic tool for swallowing disorders, feeding problems, dysphagia, and lower esophageal dysfunction.

Purpose of the Study:

  • To review recent advancements in high-resolution esophageal manometry (HREM) for pediatric use.
  • To guide the judicious application of the Chicago 4.0 classification in children.

Main Methods:

  • Review of recent literature on high-resolution esophageal manometry in pediatric populations.
  • Discussion of the Chicago 4.0 classification criteria and their relevance to pediatric esophageal motility.

Main Results:

  • High-resolution esophageal manometry offers detailed insights into esophageal function in children.
  • The Chicago 4.0 classification provides a framework for interpreting manometric findings, requiring careful consideration in pediatric cases.

Conclusions:

  • Esophageal manometry is crucial for managing pediatric esophageal dysmotility.
  • Judicious use of the Chicago 4.0 classification in conjunction with HREM can optimize treatment strategies for children.

Keywords:
AchalasiaBiometricsCrico-pharyngeal dysphagiaFeeding problemsHigh-resolution esophageal manometry

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