Esophageal motility study

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Esophageal motility study
Diagram of esophageal motility study in 'nutcracker esophagus'. The disorder shows peristalsis with high pressure esophageal contractions exceeding 180 mmHg and contractile waves with a long duration exceeding 6 seconds.
ICD-9-CM89.32
OPS-301 code1-313
MedlinePlus003884

An esophageal motility study (EMS) or esophageal manometry is a test to assess

lower esophageal sphincter (LES).[1]

Indications

An EMS is typically done to evaluate suspected disorders of

cardiac
cause.

The test is not useful for anatomical disorders of the esophagus (that is, disorders that distort the anatomy of the esophagus), such as peptic strictures and esophageal cancer.

Procedure

A technician places a catheter into the nose and then guides it into the stomach. Once placed in the stomach lining, the catheter is slowly withdrawn, allowing it to detect pressure changes and to record information for later review. The patient will be asked at times to take a deep breath or to take some swallows of water. The degree of discomfort varies among patients. Patients are not sedated because sedatives would alter the functioning of the esophageal muscles. Overall the procedure takes about 45 minutes. After the procedure is complete, patients can usually resume their normal daily activities.

Other diagnostic tests for swallowing

x-rays
to image the swallowing motions.

Recent advances

Recently,[

high resolution manometry
(HRM) has been developed that significantly reduces the procedure time (10 minutes versus 45 minutes with conventional manometry) and provides enhanced patient comfort. Newer catheters incorporate concurrent impedance with HRM.

See also

References