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While reflux disease, achalasia, esophageal spasm, gastroparesis and IBS include some of the most common disorders in all disease categories, the understanding of their pathophysiology has remained elusive. The field of clinical gastrointestinal motility has for decades relied on the measurement of intestinal movements for diagnosis and management of these difficult and enigmatic disorders of gut function. Although computers have increased the speed with which we can measure the movements of the gut, the devices to measure this movement have not changed in over 20 years. In the last 2 years, a new technologic breakthrough has taken place in the measurement of intestinal movement. The technology is called high resolution manometry. Rather than the old 4 and 8 channels systems of measuring pressure, high resolution employs 36 closely spaced solid state pressure transducers. By using this technology, the resolution of gut motor activity is incredible. This allows for better ways of viewing motility using color as pressure. This technology makes for beautiful images of gut motility that we have never seen before. We have made diagnoses that would never have been appreciated with the old technology. High resolution manometry is taking over conventional manometry worldwide and represents a dramatic leap in a long time stagnant area.
List of contents
to High-Resolution Manometry.- Esophageal Manometry.- Gastric/Small Bowel Manometry.- Anorectal Manometry.
About the author
Jeffrey Conklin is a lifelong student of organizational communication and collaboration, and the tools that support them. As Director of CogNexus Institute he remains active as a practitioner of dialogue mapping, although his main joy is teaching dialogue mapping as the art and science of creating shared understanding.
Summary
While reflux disease, achalasia, esophageal spasm, gastroparesis and IBS include some of the most common disorders in all disease categories, the understanding of their pathophysiology has remained elusive. The field of clinical gastrointestinal motility has for decades relied on the measurement of intestinal movements for diagnosis and management of these difficult and enigmatic disorders of gut function. Although computers have increased the speed with which we can measure the movements of the gut, the devices to measure this movement have not changed in over 20 years. In the last 2 years, a new technologic breakthrough has taken place in the measurement of intestinal movement. The technology is called high resolution manometry. Rather than the old 4 and 8 channels systems of measuring pressure, high resolution employs 36 closely spaced solid state pressure transducers. By using this technology, the resolution of gut motor activity is incredible. This allows for better ways of viewing motility using color as pressure. This technology makes for beautiful images of gut motility that we have never seen before. We have made diagnoses that would never have been appreciated with the old technology. High resolution manometry is taking over conventional manometry worldwide and represents a dramatic leap in a long time stagnant area.
Report
From the reviews:
"This atlas depicts the standard manometric tracings of motility derangements in a variety of disease states and then presents the corresponding high resolution manometry (HRM) tracings. ... A particular strength of this atlas lies in the detailed illustrations and legends. ... This book would be most useful for persons working closely with gastrointestinal diagnostic motility labs, such as nurses, technicians, and the physicians charged with the interpretation of exams. ... This will be a useful reference for our esophageal motility lab." (Lisbeth A Selby, Doody's Review Service, October, 2009)
