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Ergebnisse Der Inneren Medizin Und... 1981
Topics: Esophageal Diseases; Esophagus; Humans; Manometry
PubMed: 7250113
DOI: No ID Found -
Revue Medicale de Liege Feb 1990
Topics: Esophageal Diseases; Esophagus; Humans; Manometry; Peristalsis; Pressure
PubMed: 2315573
DOI: No ID Found -
Annales D'oto-laryngologie Et de... 1977
Topics: Adolescent; Child; Eustachian Tube; Humans; Manometry; Nitrogen; Otitis Media; Oxygen; Permeability; Pressure; Tympanoplasty
PubMed: 900745
DOI: No ID Found -
Journal of Pediatric Gastroenterology... Nov 2017High-resolution anorectal manometry is an increasingly common procedure performed in pediatric patients to rule out Hirschsprung and assess anorectal function and... (Clinical Trial)
Clinical Trial
High-resolution anorectal manometry is an increasingly common procedure performed in pediatric patients to rule out Hirschsprung and assess anorectal function and sensation. The purpose of the present study was to evaluate anxiety of patients and their parents associated with high-resolution anorectal manometry. Preprocedural anxiety was assessed by standardized questionnaire in all parents and children older than 8 years and observed behavioral distress was recorded by the attending pediatric gastroenterologist. Thirty-five children (mean age = 7.2 years, ±2.8) and their parents completed the study. Patient anxiety was found to be markedly elevated. Observed behavioral distress was elevated compared to more invasive procedures. Self-reported parental anxiety was comparable to adults undergoing endoscopic procedures themselves. Despite the low risk of this procedure, healthcare providers should be aware of the high levels of anxiety and distress that occur in patients and their parents associated with anorectal manometry.
Topics: Adolescent; Adult; Anxiety; Child; Child, Preschool; Chronic Disease; Constipation; Female; Humans; Male; Manometry; Parents; Prospective Studies; Psychiatric Status Rating Scales
PubMed: 28362695
DOI: 10.1097/MPG.0000000000001595 -
Neurogastroenterology and Motility Sep 2013
Topics: Esophageal Motility Disorders; Esophagus; Gastroenterology; Humans; Manometry
PubMed: 23834139
DOI: 10.1111/nmo.12175 -
Arquivos de Gastroenterologia 2005The anorectal manometry is a very utilized and well recognized examination in children with chronic functional constipation. The major manometric findings in these... (Comparative Study)
Comparative Study
BACKGROUND
The anorectal manometry is a very utilized and well recognized examination in children with chronic functional constipation. The major manometric findings in these children are: anal hypotonia, anal hypertonia, paradoxal contraction of the external anal sphincter, decreased ability of internal anal sphincter to relax during rectal distension and alterations in rectal contractility, sensibility and compliance.
AIMS
To evaluate the anal basal pressure and the relaxation reflex before and after standard treatment for a better understanding of the physiopathologic mechanisms involved in pediatric chronic functional constipation.
METHODS
Anorectal manometry was performed before treatment on 20 children with chronic functional constipation aged 4 to 12 years and the results were compared to those obtained after standard treatment, with a good outcome.
RESULTS
There was a reduction in anal basal pressure after treatment, but no differences were detected between the anorectal manometries performed before and after treatment in terms of amplitude and duration of relaxation, residual pressure, latency time, or descent and ascent angle.
CONCLUSIONS
We conclude that the anal basal pressure decreased in children recovering from chronic functional constipation, but the standard treatment did not provide all the conditions necessary for the relaxation reflex of constipated children to return to the values described in normal children.
Topics: Anal Canal; Cathartics; Child; Child, Preschool; Chronic Disease; Constipation; Female; Humans; Male; Manometry; Patient Education as Topic; Rectum; Sorbitol
PubMed: 16200255
DOI: 10.1590/s0004-28032005000300010 -
Dysphagia 1993There has been renewed interest in the use of manometry of the pharyngoesophageal segment in the investigation of pharyngeal dysphagia. Advances in technology have... (Review)
Review
There has been renewed interest in the use of manometry of the pharyngoesophageal segment in the investigation of pharyngeal dysphagia. Advances in technology have alleviated previous difficulties presented by factors such as the rapid response rate of the striated muscle and asymmetry of the upper esophageal sphincter. Close attention to technique can overcome difficulties with movement artifacts encountered during deglutition. Manometry is being used to study normal swallow function and the effects of physiologic changes. There are also increasing numbers of reports in the literature of manometric studies in patients with oropharyngeal dysphagia. This technique provides information on pressure changes and augments that information obtained from a barium swallow.
Topics: Deglutition; Deglutition Disorders; Esophagus; Humans; Image Processing, Computer-Assisted; Manometry; Pharynx
PubMed: 8359050
DOI: 10.1007/BF01354550 -
Respiration; International Review of... 2014Pleural manometry can predict the presence of trapped lung and guide large-volume thoracentesis. The current technique for pleural manometry transduces pressure from the... (Clinical Trial)
Clinical Trial
BACKGROUND
Pleural manometry can predict the presence of trapped lung and guide large-volume thoracentesis. The current technique for pleural manometry transduces pressure from the needle or intercostal catheter, necessitating intermittent cessation of fluid drainage at the time of pressure recordings.
OBJECTIVES
To develop and validate a technique for performing continuous pleural manometry, where pressure is transduced from an epidural catheter that is passed through the drainage tube to sit within the pleural space.
METHODS
Pleural manometry was performed on 10 patients undergoing thoracentesis of at least 500 ml, using the traditional intermittent and new continuous technique simultaneously, and pleural pressures were recorded after each drainage of 100 ml. The pleural elastance (PEL) curves and their 95% confidence intervals (CIs), derived using measurements from each technique, were compared using the analysis of covariance and Student's paired t test, respectively.
RESULTS
There was no significant difference in PEL calculated using each method (p > 0.1); however, there was a trend towards the CI for the PEL derived from the continuous method being narrower (p = 0.08). Fully automated measurement of drainage volume and pleural pressure, with real-time calculation and display of PEL, was achieved by connecting the system to a urodynamics machine.
CONCLUSIONS
Pleural manometry can be transduced from an epidural catheter passed through the drainage tube into the pleural space, which gives continuous recording of the pleural pressure throughout the procedure. This allows for automated calculation and display of the pleural pressure and PEL in real time, if the system is connected to a computer with appropriate software.
Topics: Aged; Diagnostic Techniques, Respiratory System; Drainage; Humans; Manometry; Middle Aged; Pleural Effusion; Prospective Studies
PubMed: 24820119
DOI: 10.1159/000358842 -
Dysphagia Jun 2019Pharyngeal high-resolution manometry (HRM) is at a point of entry into speech-language pathologist (SLP) clinical practice. However, the demographic characteristics of...
Pharyngeal high-resolution manometry (HRM) is at a point of entry into speech-language pathologist (SLP) clinical practice. However, the demographic characteristics of SLPs who are early adopters of HRM are unclear; perspectives of early adopters may shape how the technology is received by the field at large. We hypothesized that younger SLPs, those working in outpatient settings, those with a strong knowledge base in HRM, and those with experience in other types of instrumentation are more likely to have interest in adopting HRM. We surveyed the population of board-certified SLPs (BCS-S; n = 262) with a 33% response rate (n = 78). Firth logistic regression was used to determine differences in those expressing interest in adopting HRM into future practice (n = 28) and those who did not (n = 45) from the analytic sample of 73 respondents. The best fitting model predicted that SLPs: (1) with training in more types of instrumentation; and (2) believing they could explain the HRM procedure to a patient were more likely to plan to adopt pharyngeal HRM into regular clinical practice. Experience with a variety of instrumentation techniques may encourage SLPs to use new forms of technology. Knowledge of early adopter demographics will allow for development of targeted trainings and determination of HRM implementation barriers. Identification of a clinician sub-group more likely to adopt other new technologies in the future may also be possible.
Topics: Adult; Female; Humans; Male; Manometry; Middle Aged; Pharynx; Practice Patterns, Physicians'; Speech-Language Pathology
PubMed: 30232550
DOI: 10.1007/s00455-018-9941-4 -
Neurogastroenterology and Motility Aug 2017Ano-rectal manometry (ARM) is the most commonly performed investigation for assessment of anorectal dysfunction. Its use is supported by expert consensus documents and...
BACKGROUND
Ano-rectal manometry (ARM) is the most commonly performed investigation for assessment of anorectal dysfunction. Its use is supported by expert consensus documents and international guidelines. Variation in technology, data acquisition, and analysis affect results and clinical interpretation. This study examined variation in ARM between institutions to establish the status of current practice.
METHODS
A 50-item web-based questionnaire assessing analysis and interpretation of ARM was distributed by the International Anorectal Physiology Working Group via societies representing practitioners that perform ARM. Study methodology and performance characteristics between institutions were compared.
KEY RESULTS
One hundred and seven complete responses were included from 30 countries. Seventy-nine (74%) institutions performed at least two studies per week. Forty-nine centers (47%) applied conventional ARM (≤8 pressure sensors) and 57 (53%) high-resolution ARM (HR-ARM). Specialist centers were most likely to use HR-ARM compared to regional hospitals and office-based practice (63% vs 37%). Most conventional ARM systems used water-perfused technology (34/49); solid-state hardware was more frequently used in centers performing HR-ARM (44/57). All centers evaluated rest and squeeze. There was marked variation in the methods used to report results of maneuvers. No two centers had identical protocols for patient preparation, setup, study, and data interpretation, and no center fully complied with published guidelines.
CONCLUSIONS & INFERENCES
There is significant discrepancy in methods for data acquisition, analysis, and interpretation of ARM. This is likely to impact clinical interpretation, transfer of data between institutions, and research collaboration. There is a need for expert international co-operation to standardize ARM.
Topics: Anal Canal; Humans; Manometry; Rectum; Reproducibility of Results; Surveys and Questionnaires
PubMed: 28101937
DOI: 10.1111/nmo.13016