Utility of Esophageal High-Resolution Manometry in Clinical Practice: First, Do HRM.

Journal Article (Journal Article;Review)

Esophageal high-resolution manometry (HRM) has advanced the understanding of esophageal motor function and the ability to diagnose and manage disorders of esophageal motility. In this review, we describe the indications for and the technical performance of HRM. The Chicago classification of esophageal motor function, now in its third iteration, streamlines and standardizes the nomenclature and basic interpretation of HRM data depicted as Clouse topographic plots. In clinical practice, HRM is an important diagnostic test for patients with dysphagia as well as patients with suspected gastroesophageal reflux disease (GERD), particularly in those patients with a suboptimal symptomatic response to antisecretory therapy. HRM can support diagnoses such as achalasia, as well as provide evidence for behavioral disorders such as rumination syndrome or supragastric belching with the assistance of postprandial HRM with impedance. Further, the GERD classification of motor function introduces a three-part hierarchical evaluation of esophageal motor function in GERD, highlighting the value of assessment of esophageal contractile reserve through provocative maneuvers during HRM such as multiple rapid swallows.

Full Text

Duke Authors

Cited Authors

  • Dhawan, I; O'Connell, B; Patel, A; Schey, R; Parkman, HP; Friedenberg, F

Published Date

  • December 2018

Published In

Volume / Issue

  • 63 / 12

Start / End Page

  • 3178 - 3186

PubMed ID

  • 30276571

Electronic International Standard Serial Number (EISSN)

  • 1573-2568

Digital Object Identifier (DOI)

  • 10.1007/s10620-018-5300-4


  • eng

Conference Location

  • United States