High-Resolution Esophageal Manometry in Ahmedabad

High-Resolution Esophageal Manometry Test in Ahmedabad

High-Resolution Esophageal Manometry (HREM) is a specialized diagnostic procedure used to assess the function and movement of the esophagus. It is commonly performed to evaluate patients with symptoms such as difficulty swallowing, chest pain, regurgitation, or gastroesophageal reflux.
During the procedure, a thin, flexible catheter with multiple pressure sensors is passed through the patient's nose and positioned in the esophagus. The catheter is connected to a computerized system that records and analyzes the pressure changes within the esophagus as the patient swallows. These pressure measurements provide detailed information about the coordination and strength of esophageal muscle contractions, as well as the function of the lower esophageal sphincter (LES).
HREM offers high-resolution and real-time data, allowing for precise assessment of esophageal motility patterns. It helps in the diagnosis of various esophageal disorders, including achalasia, esophageal spasm, ineffective esophageal motility, and hiatal hernia.
Dr. Vivek Tank, a specialist in gastrointestinal disorders, offers HREM as part of his diagnostic services. With his expertise and the advanced technology utilized in HREM, Dr. Tank can accurately evaluate esophageal function and develop personalized treatment plans for patients with esophageal disorders.

The manometry test is commonly given to people who have:

If you experience symptoms that could be indicative of an esophageal problem, Dr Vivek may advise esophageal manometry.
Esophageal manometry sheds light on how food travels from the oesophagus to the stomach. The test evaluates your ability to open and close your sphincter muscles at the top and bottom of your oesophagus, as well as the force, speed, and pattern of the wave of esophageal muscular contractions that propels food along.
X-rays or an upper endoscopy, a technique that allows Dr Vivek to see your upper digestive system with a tiny camera on the end of a tube, may be ordered in addition to or instead of esophageal manometry if swallowing problems or swallowing pain are your primary symptoms. These examinations detect or rule out any esophageal constriction, total obstruction, or inflammation.
Esophageal manometry might be used to help diagnose:

  • Diffuse esophageal spasm : . This uncommon swallowing issue is characterised by many, erratic, poorly timed esophageal muscle spasms.
  • Achalasia : This unusual condition happens when the muscle in your lower esophageal sphincter doesn't relax enough to allow food to pass into your stomach. As a result, you can have trouble swallowing and throw up food back up your throat.
  • Scleroderma : Many sufferers of this uncommon progressive condition experience severe gastroesophageal reflux because the muscles in the lower oesophagus stop contracting.

Why High-Resolution Esophageal Manometry Used ?

High-Resolution Esophageal Manometry (HRM) is a diagnostic procedure used to evaluate the function and movement of the esophagus. Here are some reasons why HRM may be used :

  1. Difficulty swallowing : If a patient is having trouble swallowing, High-Resolution Esophageal Manometry can help identify the cause of the problem. It can detect abnormalities in the strength and coordination of the muscles that propel food down the esophagus.
  2. Acid reflux : High-Resolution Esophageal Manometry can help diagnose the cause of acid reflux symptoms. It can detect abnormalities in the lower esophageal sphincter (LES), a muscular ring that separates the esophagus from the stomach and helps prevent acid from flowing back into the esophagus.
  3. Chest pain : High-Resolution Esophageal Manometry can help identify the cause of chest pain that may be related to the esophagus. It can detect abnormalities in the muscle contractions that move food through the esophagus.
  4. Pre-operative evaluation : High-Resolution Esophageal Manometry can be used to evaluate the function of the esophagus before surgery, such as anti-reflux surgery or surgery for esophageal cancer.

High-Resolution Esophageal Manometry is a useful tool for diagnosing esophageal disorders and providing valuable information for treatment planning. It is a safe and minimally invasive procedure that does not involve radiation exposure.

Types of High-Resolution Esophageal Manometry procedure

There are two main types of high-resolution esophageal manometry procedures :

High-Resolution Esophageal Manometry
  • Standard Esophageal Manometry : This type of manometry measures the pressure and relaxation of the muscles in the esophagus. It is used to diagnose conditions such as achalasia, gastroesophageal reflux disease (GERD), and esophageal spasms.
  • High-resolution Esophageal Manometry : This is an advanced type of esophageal manometry that provides more detailed information about the functioning of the esophageal muscles. It uses multiple pressure sensors to create a 3D map of the esophagus and can diagnose conditions such as esophageal motility disorders and functional heartburn.

Both procedures are minimally invasive and involve passing a thin, flexible tube with sensors through the nose and down the esophagus. The procedure typically takes less than an hour to complete and is done on an outpatient basis.

Benefits of High-Resolution Esophageal Manometry

High-Resolution Esophageal Manometry (HREM) is a diagnostic test used to evaluate the function of the esophagus and the lower esophageal sphincter (LES). Here are some benefits of High-Resolution Esophageal Manometry :

  1. Accurate diagnosis : High-Resolution Esophageal Manometry provides detailed and accurate information about the esophageal function, making it easier for doctors to diagnose esophageal disorders such as achalasia, esophageal spasms, and gastroesophageal reflux disease (GERD).
  2. Personalized treatment : The results of High-Resolution Esophageal Manometry can help doctors develop personalized treatment plans for patients based on their individual needs and the specific disorder being treated.
  3. Minimally invasive : High-Resolution Esophageal Manometry is a minimally invasive procedure that does not require sedation or anesthesia, making it a safer and more comfortable alternative to traditional esophageal tests.
  4. Quick and efficient : High-Resolution Esophageal Manometry takes about 30 to 60 minutes to complete, and patients can resume their normal activities immediately after the test.
  5. Better outcomes : With accurate diagnosis and personalized treatment, patients can expect better outcomes and improved quality of life.

High-Resolution Esophageal Manometry is a valuable tool in diagnosing and treating esophageal disorders, providing patients with better outcomes and improved quality of life.

Case Study

Successful High-Resolution Esophageal Manometry Procedure in a 34-Year-Old Male Patient

Patient Information :34-year-old male who presented to our clinic with complaints of dysphagia and heartburn. He reported difficulty swallowing solid foods and a sensation of food getting stuck in his throat. He had also experienced occasional heartburn and regurgitation. He had no significant medical history and was not taking any medications.

Conclusion : This case demonstrates the successful use of high-resolution esophageal manometry in diagnosing esophageal motility disorders in a 34-year-old male patient with dysphagia and heartburn. High-resolution esophageal manometry is a safe and minimally invasive procedure for evaluating esophageal function and can help guide appropriate treatment strategies. With experienced endoscopic technique, high-resolution esophageal manometry can provide valuable information to manage patients with esophageal motility disorders.

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Best Doctor For High-Resolution Esophageal Manometry Procedure

Best Doctor For High-Resolution Esophageal Manometry Procedure

Dr Vivek Tank

Endoscopic Surgeon

MBBS , MS, DMAS

Dr vivek tank qualified from prestigious M.P.Shah medical college; Jamnagar; Gujarat in the year 2004.he then completed training in advanced surgery and endoscopy from Rajkot cancer hospital and apollo hospital Hyderabad. He received his diploma in minimal access surgery from World Laparoscopy hospital ; new delhi in 2008. He is one of the few surgeons who are well versed in Open; laparoscopy and endoscopic domains of surgery. Under the care of dr. vivek , patients undergo surgery and endoscopy at same place by the same surgeon.

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Frequently Asked Questions (FAQ)

1. What should I expect after High-Resolution Esophageal Manometry?
After High-Resolution Esophageal Manometry, patients may experience some mild discomfort or a sore throat for a short time. Most patients are able to resume their normal activities immediately after the procedure.
2. How accurate is High-Resolution Esophageal Manometry?
High-Resolution Esophageal Manometry is a highly accurate diagnostic tool for esophageal disorders. It provides detailed information about the function of the esophageal muscles and LES, which helps in the diagnosis and treatment of esophageal disorders.
3. Are there any risks associated with High-Resolution Esophageal Manometry?
Like any medical procedure, High-Resolution Esophageal Manometry does come with some risks, such as nosebleeds, irritation of the nasal passages, and infection. However, these risks are relatively low, and the benefits of HREM typically outweigh the risks.

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