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Related Experiment Videos

Esophageal manometry: a benefit and cost analysis.

H Meshkinpour, M E Glick, P Sanchez

    Digestive Diseases and Sciences
    |September 1, 1982
    PubMed
    Summary

    Esophageal manometry is a valuable diagnostic tool, altering clinical diagnosis in 6% and treatment in 4% of patients. It is most beneficial for dysphagia, chest pain, and suspected achalasia, but less so for chronic heartburn.

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    Area of Science:

    • Gastroenterology
    • Diagnostic Technology Evaluation

    Background:

    • Esophageal manometry is increasingly used but its clinical impact requires evaluation.
    • Understanding the diagnostic and therapeutic contribution of manometry is crucial.

    Purpose of the Study:

    • To assess how often esophageal manometry changes clinical diagnosis and treatment.
    • To evaluate the cost-effectiveness of esophageal manometry in diagnosing esophageal disorders.

    Main Methods:

    • Reviewed 363 patients undergoing esophageal manometry for dysphagia, heartburn, or chest pain.
    • Compared diagnoses before and after manometry, analyzing changes in treatment plans.

    Main Results:

    • Manometry altered diagnosis in 6% and treatment in 4% of patients.
    • It confirmed achalasia in some, identified new diagnoses, and prevented unnecessary treatment in others.
    • The cost per diagnosis alteration was $3945 and per treatment alteration was $6482.

    Conclusions:

    • Esophageal manometry is beneficial for patients with dysphagia, chest pain, and suspected achalasia.
    • Its utility is limited in patients presenting primarily with chronic heartburn.
    • Manometry provides significant clinical value by refining diagnoses and guiding appropriate treatment strategies.

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