High resolution oesophageal manometry

Slides:

Advertisements

Similar presentations

New Developments in Gastroenterology at West Herts High Resolution oesophageal manometry and 24 hour pH studies Dr Mark Fullard Consultant Gastroenterologist.

Advertisements

T HE E SOPHAGUS By: Kristina Retherford, Jaidah Wilson, and Emmanuel Sinnathamby.

Patients who had reported experiencing symptoms in the previous 7 days were asked during what times of the day the symptoms were most troublesome. a) Breathlessness,

BOWEL ELIMINATION N116.

Associate Prof. Dr. Meltem Ergun

Stephanie G. Worrell, MD, Evan T

Fig. 1 Esophageal pressure topography of a patient with myotonic dystrophy, pharyngeal salivary stasis, and esophageal dysphagia. Every 5-mL water swallow.

From: Esophageal motility disorders after gastric banding

ESOPHAGEAL MANOMETRY SAN ANTONIO The esophagus is the tube that carries food and liquid from the throat to the stomach. Although it seems like a simple.

Ian D. Molyneux, Tanya Moon, A. Kevin Webb, Alyn H. Morice

Clinical algorithm for the diagnosis of chronic cough.

Making Dysphagia Easier to Swallow

Figure 3 High-resolution manometry of achalasia subtypes

Figure 2 Key metrics of pressure topography (Clouse)

An Involuntary and Unexpected Treatment of Nutcracker Esophagus

Figure 1 Pseudorelaxation as a consequence of

The values for the provoking dose of mannitol to cause a 15% decrease (PD15) in forced expiratory volume in 1 s (FEV1) showing the different levels of.

Tracings of concurrent oesophageal manometry, pH, and impedance.

Tracings of concurrent oesophageal manometry, pH, and impedance.

Distribution of lower extremity artery disease (LEAD) Fontaine stages over the combined chronic obstructive pulmonary disease (COPD) Global Initiative.

Figure 2 Metrics from oesophageal high-resolution

Figure 5 High-resolution manometry studies performed

Erroneous Diagnosis of Gastroesophageal Reflux Disease in Achalasia

Nat. Rev. Gastroenterol. Hepatol. doi: /nrgastro

Virus shedding after human rhinovirus infection in children, adults and patients with hypogammaglobulinaemia V. Peltola, M. Waris, L. Kainulainen, J.

Nat. Rev. Gastroenterol. Hepatol. doi: /nrgastro

Venn diagram showing the overlap between the various chronic obstructive pulmonary disease (COPD) diagnoses: self-reported physician-diagnosed, fixed ratio.

Stephanie G. Worrell, MD, Evan T

Volume 138, Issue 1, Pages (January 2010)

Benjamin Basseri, MD, Jeffrey L

Radu Tutuian, Donald O Castell

How to Effectively Use High-Resolution Esophageal Manometry

Representative, schematic diagram showing the pressure–volume curves of the respiratory system (RS, blue curves) and its two components, i.e. the chest.

A white elephant or the elephant in the room

High-resolution computed tomography scan revealing a nonspecific interstitial pneumonia pattern with basal predominant ground-glass opacities and associated.

Forest plot showing the number of adults (at the top) and children (lower down) who were admitted to hospital after treatment in the emergency department.

Esophageal function testing

Representative diaphragm electromyogram (EMG) tracings at rest (a and b) and during maximum voluntary ventilation (c and d) in a healthy subject (a and.

A–f) Respiratory mechanical measurements during incremental cycle exercise in patients with moderate chronic obstructive pulmonary disease (COPD) and age-matched.

Tidal pressure–volume loops (i.e.

Onkar V. Khullar, MD, Sagar R. Shroff, MD, Sonali S

Flow–volume loop analysis

a) Mortality per time point (p<0

Arterial oxygen saturation (SaO2) patterns during sleep in obstructive sleep apnoea (OSA) alone and the overlap syndrome. Arterial oxygen saturation (SaO2)

Clinical algorithm for the diagnosis of acute cough.

Pattern high-resolution computed tomography consistent with nonspecific interstitial pneumonia in a patient with histological diagnosis of usual interstitial.

A family-based pulmonary rehabilitation (PR) programme enhanced the coping resources of the families of chronic obstructive pulmonary disease patients.

The drug-induced sleep endoscopy (DISE) procedure is performed by an ear, nose and throat surgeon in the operating theatre with the patient in the supine.

Evaluation of cognitive performance based on the ability to copy a simple drawing. Evaluation of cognitive performance based on the ability to copy a simple.

Capnography traces. a) A good-quality trace showing a clear plateau that will ensure an accurate measurement of ETCO2. b) A trace from a patient with airflow.

a) Central sleep apnoea.

A)Standardised mortality ratios for chronic bronchitis in men and women (1968–1978) and b) infant mortality from bronchitis and pneumonia per 1000 births.

Roles and functions of α1-AT in lungs of a) individuals with normal levels of protein, b) patients with deficient or null mutations, and c) patients with.

High-resolution computed tomography scan of a 59-year-old female patient with undifferentiated connective tissue disease, showing patterns of nonspecific.

A) Levels of nitrosothiols in breath condensate in normal healthy smokers and patients with chronic obstructive pulmonary disease (COPD). b) Increased.

Computational fluid dynamics (CFD) results for a successfully treated patient, where mandibular advancement overcomes local airway narrowing and results.

Distribution of patients in the first- or second-year follow-up according to the number of acute exacerbations of chronic obstructive pulmonary disease.

Comorbidities/associated conditions/complications assessed in patients diagnosed with idiopathic pulmonary fibrosis (IPF) in the 2013 Advancing IPF Research.

Gastrointestinal Endoscopy

Correlation between inspiratory capacity (IC)/total lung capacity (TLC) ratio and oxygen pulse at peak exercise in chronic obstructive pulmonary disease.

High-resolution computed tomography from a patient with anti-Jo1 positive polymyositis showing basilar predominate reticulation and ground-glass opacity.

Bench test setting for automatic continuous positive airway pressure (APAP) devices. a) System to simulate the breathing pattern and airway obstructions.

The Mead and Whittenberger graphs (a–c) obtained by plotting the airway opening flow versus the resistive pressure drop (Pfr) during a single breath. The.

Flow–volume loops of test breaths and preceding control breaths of a representative chronic obstructive pulmonary disease patient with different degrees.

Flow–volume loops of test breaths and preceding control breaths of three representative chronic obstructive pulmonary disease patients with different degrees.

Simulation of a patient with a constant shunt of 20% of the cardiac output who is breathing 100% O2. a) Arterial partial pressure of oxygen (PO2) is very.

Oesophagogastric junction morphology as depicted in HRM

Presentation transcript:

High resolution oesophageal manometry High resolution oesophageal manometry. a) The trace shows a normal pattern of oesophageal contraction descending with preceding opening of the lower oesophageal sphincter. b) Lack of lower oesophageal sphincter tone in a patients with chronic cough. c) Fail... High resolution oesophageal manometry. a) The trace shows a normal pattern of oesophageal contraction descending with preceding opening of the lower oesophageal sphincter. b) Lack of lower oesophageal sphincter tone in a patients with chronic cough. c) Failed peristalsis with accumulation of food and secretions causing increase in pressure. Alyn H. Morice Breathe 2013;9:256-266 ©2013 by European Respiratory Society