Esophageal Manometry in NYC
Esophageal manometry is a study used to assess pressures and motor function of the esophagus. This aids in the evaluation of how well the muscles in the esophagus work to transport liquids or food from the mouth into the stomach.
Esophageal manometry is indicated to establish the etiology of difficulty in swallowing (dysphagia). In particular, disorders like achalasia and esophageal spasm of the esophagus could be diagnosed on esophageal manometry study.
In addition, esophageal manometry could be useful in patients with refractory Gastroesophageal Reflux, GERD. Esophageal manometry can be diagnostic ineffective esophageal motility and incompetent Lower Esophageal Sphincter (LES).
It is indicated for the pre-operative assessment of patients who are being considered for anti-reflux surgery or anti-reflux procedure (Nissan Fundoplication, LINX, Trans-oral Incisionless Fundoplication/TIF). It is also indicated in the pre-operative evaluation of patients with achalasia.
Many patients who experience chronic cough and hoarseness need esophageal manometry with 24 hr pH/impedance study to diagnose laryngopharyngeal reflux (LPR).
In our center we use the latest version of manometry equipment: High Resolution Manometry (HRM) with Impedance (impedance traces fluid bolus via ionic sensors).
The procedure is performed in our NYC Midtown office by Dr. Veronika V. Dubrovskaya. The patient is not sedated for the procedure. A flexible catheter of a small diameter is introduced via nares into the nasopharynx and further into the esophagus and the stomach. The patient further is given 5cc of salty water to be swallowed 10 times. At the end of 10 swallows, the catheter is removed. In total, the procedure length is less than 15 minutes.