Recommendations of the Russian Gastroenterological Association on Clinical Use of High-Resolution Manometry in Diagnosis of Esophageal Disorders
Aim. Current recommendations of the Russian Gastroenterological Association on clinical use of high-resolution manometry in diagnosis of esophageal disorders are intended to assist in clinical decision making, terminology standardisation and interpretation of clinical data.Key points. In 2018, a joi...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Gastro LLC
2020-07-01
|
| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| Subjects: | |
| Online Access: | https://www.gastro-j.ru/jour/article/view/488 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823860120966135808 |
|---|---|
| author | V. T. Ivashkin I. V. Mayev A. S. Trukhmanov O. A. Storonova S. A. Abdulkhakov D. N. Andreev D. S. Bordin E. R. Valitova I. L. Klyaritskaya V. V. Krivoy Yu. A. Kucheryavyi T. L. Lapina S. V. Morozov O. A. Sablin E. V. Semenikhina Yu. P. Uspenskiy A. A. Sheptulin |
| author_facet | V. T. Ivashkin I. V. Mayev A. S. Trukhmanov O. A. Storonova S. A. Abdulkhakov D. N. Andreev D. S. Bordin E. R. Valitova I. L. Klyaritskaya V. V. Krivoy Yu. A. Kucheryavyi T. L. Lapina S. V. Morozov O. A. Sablin E. V. Semenikhina Yu. P. Uspenskiy A. A. Sheptulin |
| author_sort | V. T. Ivashkin |
| collection | DOAJ |
| description | Aim. Current recommendations of the Russian Gastroenterological Association on clinical use of high-resolution manometry in diagnosis of esophageal disorders are intended to assist in clinical decision making, terminology standardisation and interpretation of clinical data.Key points. In 2018, a joint meeting of the Russian Gastroenterological Association and Russian Neurogastroenterology and Motility Group approved unified terminology and classification of esophageal motor function disorders for high-resolution manometry diagnosis.Gastrointestinal patient complaints typically concern esophageal disorders such as dysphagia, regurgitation, heart-burn, chest pain or belching. To exclude erosive and ulcerative lesions, eosinophilic esophagitis and organic changes, esophagogastroduodenoscopy and biopsy are recommended in pre-treatment. Upon excluding mucosal lesions and esophageal lumen obstruction as causal for symptoms, use of high-resolution manometry is recommended. This method of esophageal examination has become the “gold standard” in diagnosis of motor disorders.High-resolution manometry enables detailed investigation of integral quantitative and qualitative characteristics of esophagus motor function and specific related disorders, analysis of esophageal contractile propagation and strictly coordinated synchronous peristalsis of upper esophageal sphincter, esophagus and lower esophageal sphincter, which malfunction may provoke development of achalasia, esophagospasm, hiatal hernia, ineffective eso pha geal motility and other motor disorders.Conclusion. High-resolution manometry is a relatively new method for study of esophagus motor function gaining increasingly wide application in clinical practice. It enables a medical professional to obtain evidence that may critically affect the choice of optimal patient care strategy and effective treatment. Current recommendations are based on an extensive review of up-to-date information and will be updated with new corpus of clinical data and assessment emerging in evidential medicine to provide gastroenterologists country-wide with latest scientific and practical guidelines. |
| format | Article |
| id | doaj-art-3b58b62af4c44068aa10cc0c6f04aab4 |
| institution | Kabale University |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| publishDate | 2020-07-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj-art-3b58b62af4c44068aa10cc0c6f04aab42025-02-10T16:14:36ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732020-07-01303618810.22416/1382-4376-2020-30-3-61-88370Recommendations of the Russian Gastroenterological Association on Clinical Use of High-Resolution Manometry in Diagnosis of Esophageal DisordersV. T. Ivashkin0I. V. Mayev1A. S. Trukhmanov2O. A. Storonova3S. A. Abdulkhakov4D. N. Andreev5D. S. Bordin6E. R. Valitova7I. L. Klyaritskaya8V. V. Krivoy9Yu. A. Kucheryavyi10T. L. Lapina11S. V. Morozov12O. A. Sablin13E. V. Semenikhina14Yu. P. Uspenskiy15A. A. Sheptulin16Sechenov First Moscow State Medical University (Sechenov University)Moscow State University of Medicine and DentistrySechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Kazan Federal UniversityMoscow State University of Medicine and DentistryMoscow State University of Medicine and Dentistry; Loginov Moscow Clinical Scientific Center; Tver State Medical UniversityLoginov Moscow Clinical Scientific CenterVernadsky Crimean Federal UniversityVernadsky Crimean Federal UniversityMoscow State University of Medicine and DentistrySechenov First Moscow State Medical University (Sechenov University)Federal Research Center for Nutrition, Biotechnology and Food SafetyNikiforov All-Russian Center for Emergency and Radiation MedicineVernadsky Crimean Federal UniversitySaint-Petersburg State Pediatric Medical University; Pavlov First Saint-Petersburg State Medical UniversitySechenov First Moscow State Medical University (Sechenov University)Aim. Current recommendations of the Russian Gastroenterological Association on clinical use of high-resolution manometry in diagnosis of esophageal disorders are intended to assist in clinical decision making, terminology standardisation and interpretation of clinical data.Key points. In 2018, a joint meeting of the Russian Gastroenterological Association and Russian Neurogastroenterology and Motility Group approved unified terminology and classification of esophageal motor function disorders for high-resolution manometry diagnosis.Gastrointestinal patient complaints typically concern esophageal disorders such as dysphagia, regurgitation, heart-burn, chest pain or belching. To exclude erosive and ulcerative lesions, eosinophilic esophagitis and organic changes, esophagogastroduodenoscopy and biopsy are recommended in pre-treatment. Upon excluding mucosal lesions and esophageal lumen obstruction as causal for symptoms, use of high-resolution manometry is recommended. This method of esophageal examination has become the “gold standard” in diagnosis of motor disorders.High-resolution manometry enables detailed investigation of integral quantitative and qualitative characteristics of esophagus motor function and specific related disorders, analysis of esophageal contractile propagation and strictly coordinated synchronous peristalsis of upper esophageal sphincter, esophagus and lower esophageal sphincter, which malfunction may provoke development of achalasia, esophagospasm, hiatal hernia, ineffective eso pha geal motility and other motor disorders.Conclusion. High-resolution manometry is a relatively new method for study of esophagus motor function gaining increasingly wide application in clinical practice. It enables a medical professional to obtain evidence that may critically affect the choice of optimal patient care strategy and effective treatment. Current recommendations are based on an extensive review of up-to-date information and will be updated with new corpus of clinical data and assessment emerging in evidential medicine to provide gastroenterologists country-wide with latest scientific and practical guidelines.https://www.gastro-j.ru/jour/article/view/488high-resolution manometrygastroesophageal reflux diseaseachalasiaesophagospasmdysphagiachest pain |
| spellingShingle | V. T. Ivashkin I. V. Mayev A. S. Trukhmanov O. A. Storonova S. A. Abdulkhakov D. N. Andreev D. S. Bordin E. R. Valitova I. L. Klyaritskaya V. V. Krivoy Yu. A. Kucheryavyi T. L. Lapina S. V. Morozov O. A. Sablin E. V. Semenikhina Yu. P. Uspenskiy A. A. Sheptulin Recommendations of the Russian Gastroenterological Association on Clinical Use of High-Resolution Manometry in Diagnosis of Esophageal Disorders Российский журнал гастроэнтерологии, гепатологии, колопроктологии high-resolution manometry gastroesophageal reflux disease achalasia esophagospasm dysphagia chest pain |
| title | Recommendations of the Russian Gastroenterological Association on Clinical Use of High-Resolution Manometry in Diagnosis of Esophageal Disorders |
| title_full | Recommendations of the Russian Gastroenterological Association on Clinical Use of High-Resolution Manometry in Diagnosis of Esophageal Disorders |
| title_fullStr | Recommendations of the Russian Gastroenterological Association on Clinical Use of High-Resolution Manometry in Diagnosis of Esophageal Disorders |
| title_full_unstemmed | Recommendations of the Russian Gastroenterological Association on Clinical Use of High-Resolution Manometry in Diagnosis of Esophageal Disorders |
| title_short | Recommendations of the Russian Gastroenterological Association on Clinical Use of High-Resolution Manometry in Diagnosis of Esophageal Disorders |
| title_sort | recommendations of the russian gastroenterological association on clinical use of high resolution manometry in diagnosis of esophageal disorders |
| topic | high-resolution manometry gastroesophageal reflux disease achalasia esophagospasm dysphagia chest pain |
| url | https://www.gastro-j.ru/jour/article/view/488 |
| work_keys_str_mv | AT vtivashkin recommendationsoftherussiangastroenterologicalassociationonclinicaluseofhighresolutionmanometryindiagnosisofesophagealdisorders AT ivmayev recommendationsoftherussiangastroenterologicalassociationonclinicaluseofhighresolutionmanometryindiagnosisofesophagealdisorders AT astrukhmanov recommendationsoftherussiangastroenterologicalassociationonclinicaluseofhighresolutionmanometryindiagnosisofesophagealdisorders AT oastoronova recommendationsoftherussiangastroenterologicalassociationonclinicaluseofhighresolutionmanometryindiagnosisofesophagealdisorders AT saabdulkhakov recommendationsoftherussiangastroenterologicalassociationonclinicaluseofhighresolutionmanometryindiagnosisofesophagealdisorders AT dnandreev recommendationsoftherussiangastroenterologicalassociationonclinicaluseofhighresolutionmanometryindiagnosisofesophagealdisorders AT dsbordin recommendationsoftherussiangastroenterologicalassociationonclinicaluseofhighresolutionmanometryindiagnosisofesophagealdisorders AT ervalitova recommendationsoftherussiangastroenterologicalassociationonclinicaluseofhighresolutionmanometryindiagnosisofesophagealdisorders AT ilklyaritskaya recommendationsoftherussiangastroenterologicalassociationonclinicaluseofhighresolutionmanometryindiagnosisofesophagealdisorders AT vvkrivoy recommendationsoftherussiangastroenterologicalassociationonclinicaluseofhighresolutionmanometryindiagnosisofesophagealdisorders AT yuakucheryavyi recommendationsoftherussiangastroenterologicalassociationonclinicaluseofhighresolutionmanometryindiagnosisofesophagealdisorders AT tllapina recommendationsoftherussiangastroenterologicalassociationonclinicaluseofhighresolutionmanometryindiagnosisofesophagealdisorders AT svmorozov recommendationsoftherussiangastroenterologicalassociationonclinicaluseofhighresolutionmanometryindiagnosisofesophagealdisorders AT oasablin recommendationsoftherussiangastroenterologicalassociationonclinicaluseofhighresolutionmanometryindiagnosisofesophagealdisorders AT evsemenikhina recommendationsoftherussiangastroenterologicalassociationonclinicaluseofhighresolutionmanometryindiagnosisofesophagealdisorders AT yupuspenskiy recommendationsoftherussiangastroenterologicalassociationonclinicaluseofhighresolutionmanometryindiagnosisofesophagealdisorders AT aasheptulin recommendationsoftherussiangastroenterologicalassociationonclinicaluseofhighresolutionmanometryindiagnosisofesophagealdisorders |