General
Stats:
- Description: Food
is carried down the esophagus into the stomach by waves of muscle contractions
in the esophagus called paristaltic contractions. There are diseases of
the esophagus in which these contractions are absent or are irregular. Esophageal
manometry involves placing a small, pressure-sensing tube into the esophagus
and measuring the paristaltic contractions. A nurse and possibly a Gastroenterologist
perform the test at a hospital, endoscopy center, or doctor's office. A
Gastroenterologist interprets the results. The test takes 30-90 minutes
to perform
- Discomfort - There
is some discomfort associated with the passage of the catheter through the
nose.
- Results - 1-3 days.
- Discomfort:
Discomfort associated with having a catheter inserted through the nose.
- Risks of Procedure
- Minimal. The catheter can cause nose bleeding.
- Average Cost - $$
- Other names: Motility
Study.
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Indications for Test
- To evaluate swallowing
problems, particularly when a problem with the muscle contractions of the
esophagus is suspected.
- To identify the cause
of chest pain when heart problems have been ruled out.
- To evaluate the strength
of contractions in the esophagus prior to surgery on the esophagus.
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Preparation
- Nothing should be
consumed for 8 hours before the test, except medications as directed by
your doctor.
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Procedure
- A local anesthetic
is sprayed into the throat to aid in passage of the catheter.
- You sit in an upright
position with your chin down.
- The catheter (a thin,
flexible tube) is passed through one of your nostrils and guided down the
esophagus into the stomach.
- After the catheter
is passed into the stomach, the recording of pressures in the esophagus
begins. You drink small sips of water as the catheter is withdrawn.
- If chest pain is
being evaluated, certain medications may be administered in an attempt to
reproduce the pain.
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After the Procedure
- If your throat was
sprayed with oral sedation, you should not eat or drink until it wears off
(up to 2 hours after the test).
- You are free to resume
normal activities.
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Factors affecting results
- Passage of the catheter
may be difficult to tolerate for some.
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Advantages
- This is the best
test to evaluate the muscle contractions of the esophagus.
- Some causes of chest
pain can be identified when other tests have been non-conclusive.
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Disadvantages
- Passage of the catheter
may be difficult to tolerate for some.
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