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Manometry Specialist in Broadway

Manometry

Manometry Specialist in Broadway

Esophageal manometry is a test that looks at how well the oesophagus muscles work together. A catheter is a small, flexible, pressure-sensitive tube that is used in the test. The catheter monitors the pressure produced by the oesophagal muscles and valves in the upper and lower parts. Upper and lower oesophagal sphincters are the valves that control how food enters and exits the oesophagus. Esophageal manometry determines whether the muscles in the oesophagus are functioning adequately or not. High-resolution esophageal manometry is a variation of the test that uses a catheter with far more sensors than a standard catheter. The sensors are also located closer together. This allows for precise measurement of the muscle contractions and coordination as food and liquids move through the digestive system. Manometry test in Kolkata is instrumental in diagnosing conditions such as gastroesophageal reflux disease (GERD), achalasia, and other oesophagal motility disorders. Our expert team uses advanced technology to provide accurate diagnostic insights and personalised treatment plans for gastrointestinal health concerns. 
 

FAQ's

Manometry is a specialised diagnostic test used to evaluate the function and movement (motility) of the gastrointestinal tract, particularly the oesophagus. It measures how well the muscles of the oesophagus contract and relax as food and liquids move through.
 

You may need a Manometry test if you experience symptoms such as difficulty swallowing (dysphagia), persistent heartburn, chest pain, regurgitation of food or acid, or unexplained nausea and vomiting. It helps diagnose conditions like gastroesophageal reflux disease (GERD), achalasia, and other esophageal motility disorders.
 

The test is generally well-tolerated and not considered painful. You may feel some discomfort or gagging as the tube is inserted, but sedation is not usually required.

Esophageal manometry is often an outpatient surgery, which means you can return home the same day. The test takes approximately 30-45 minutes and can be administered by a nurse practitioner or another certified health care provider. During the esophageal manometry: 

  • You sit up straight while a nurse applies numbing gel to one of your nostrils and numbing spray to the back of your throat.
  • A thin, flexible tube called a catheter with sensors at its tip is gently inserted through your nose or mouth and advanced down into your esophagus. This process can cause some mild discomfort or a gagging sensation but is generally well-tolerated. 
  • Once the catheter is in place, the table is reclined so you can lie on your back. 
  • A computer connected to the catheter records the pressure, speed, and pattern of your oesophagal muscle contractions as you swallow small sips of water.
  • During the test, you'll need to remain as still as possible, breathe slowly and smoothly, and swallow only when instructed to do so.
  • When the test is complete, the catheter will be progressively removed. You can resume your routine activities immediately following the test.
     

Esophageal manometry is generally considered a safe practice. Serious complications are exceedingly uncommon but include:

  • Arrhythmia (an irregular heartbeat)
  • Aspiration (the inhaling of stomach contents).
  • Esophageal perforation (tube breaches the wall). 
  • While the tube is being positioned, it may reach the larynx (voice box) and induce a choking sensation, which your motility nurse will immediately treat by repositioning the tube. 

Following the procedure, you can experience:

  • A painful throat can be alleviated by over-the-counter throat lozenges
  • Temporary tightness in your nose
  • Minor nosebleed
     

Esophageal manometry should not be painful, though the catheter in your oesophagus may be slightly uncomfortable. You will be given topical anaesthetic to numb your throat and alleviate the discomfort. Your throat may feel a little sore afterwards.
 


Non-specific manometric observations in GERD patients may include:

  • Reduced peristalsis
  • Decreased peristaltic amplitude
  • Hypotensive lower esophageal sphincter
  • Excessive transient relaxations
     

Esophageal high-resolution manometry (HRM) is the preferred method for diagnosing esophageal motility problems. Patients may not tolerate this procedure well because it is conducted without sedation.
 

Manometry and endoscopy are both important diagnostic procedures in gastroenterology, but they serve distinct purposes. Manometry involves inserting a catheter with sensors into the oesophagus to measure muscle contractions and assess the function and movement of the gastrointestinal tract, particularly in conditions like achalasia and oesophagal spasms. In contrast, endoscopy uses a flexible tube with a camera to visually inspect the gastrointestinal tract, allowing for direct observation of issues such as ulcers, inflammation, tumours, and bleeding, and enabling the collection of tissue samples for biopsy. 

To obtain the most accurate findings, you should not eat or drink anything after midnight on the day before your treatment, unless it is planned for the afternoon. The exception is medication taken with sips of water.