Application and Interpretation of High-resolution Manometry for Pharyngeal Dysphagia
The pharyngeal phase of swallowing is a complex event consisted with subsequent muscular contractions and pressure gen-eration to move a bolus from the mouth to the esophagus. Recently, high-resolution impedance manometry (HRIM) was devel-oped and used for the evaluation of pharyngeal dysphagia. Alt...
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Published in | Journal of neurogastroenterology and motility Vol. 21; no. 2; pp. 283 - 287 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Korea (South)
Korean Society of Neurogastroenterology and Motility
01.04.2015
대한소화기 기능성질환∙운동학회 |
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Online Access | Get full text |
ISSN | 2093-0879 2093-0887 |
DOI | 10.5056/15009 |
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Abstract | The pharyngeal phase of swallowing is a complex event consisted with subsequent muscular contractions and pressure gen-eration to move a bolus from the mouth to the esophagus. Recently, high-resolution impedance manometry (HRIM) was devel-oped and used for the evaluation of pharyngeal dysphagia. Although HRIM provides precise pharyngeal pressure information, it has yet to be used as part of routine clinical practice for the assessment of dysphagia. The main reasons are thought to be that the test method and result interpretation are not easily applicable and standardized. The anatomical landmarks for HRIM parameters are velopharynx, tongue base, epiglottis, low pharynx, and upper esophageal sphincter. With HRIM, the pressure and timing data could be obtained at a precise anatomical structure. In the present review, we will review how to apply HRIM for the evaluation of pharyngeal dysphagia, including the interpretation of its parameters.(J Neurogastroenterol Motil 2015;21:283-287). |
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AbstractList | The pharyngeal phase of swallowing is a complex event consisted with subsequent muscular contractions and pressure generation to move a bolus from the mouth to the esophagus. Recently, high-resolution impedance manometry (HRIM) was developed and used for the evaluation of pharyngeal dysphagia. Although HRIM provides precise pharyngeal pressure information,it has yet to be used as part of routine clinical practice for the assessment of dysphagia. The main reasons are thought to be that the test method and result interpretation are not easily applicable and standardized. The anatomical landmarks for HRIM parameters are velopharynx, tongue base, epiglottis, low pharynx, and upper esophageal sphincter. With HRIM, the pressureand timing data could be obtained at a precise anatomical structure. In the present review, we will review how to apply HRIM for the evaluation of pharyngeal dysphagia, including the interpretation of its parameters. KCI Citation Count: 3 The pharyngeal phase of swallowing is a complex event consisted with subsequent muscular contractions and pressure gen-eration to move a bolus from the mouth to the esophagus. Recently, high-resolution impedance manometry (HRIM) was devel-oped and used for the evaluation of pharyngeal dysphagia. Although HRIM provides precise pharyngeal pressure information, it has yet to be used as part of routine clinical practice for the assessment of dysphagia. The main reasons are thought to be that the test method and result interpretation are not easily applicable and standardized. The anatomical landmarks for HRIM parameters are velopharynx, tongue base, epiglottis, low pharynx, and upper esophageal sphincter. With HRIM, the pressure and timing data could be obtained at a precise anatomical structure. In the present review, we will review how to apply HRIM for the evaluation of pharyngeal dysphagia, including the interpretation of its parameters.(J Neurogastroenterol Motil 2015;21:283-287). The pharyngeal phase of swallowing is a complex event consisted with subsequent muscular contractions and pressure generation to move a bolus from the mouth to the esophagus. Recently, high-resolution impedance manometry (HRIM) was developed and used for the evaluation of pharyngeal dysphagia. Although HRIM provides precise pharyngeal pressure information, it has yet to be used as part of routine clinical practice for the assessment of dysphagia. The main reasons are thought to be that the test method and result interpretation are not easily applicable and standardized. The anatomical landmarks for HRIM parameters are velopharynx, tongue base, epiglottis, low pharynx, and upper esophageal sphincter. With HRIM, the pressure and timing data could be obtained at a precise anatomical structure. In the present review, we will review how to apply HRIM for the evaluation of pharyngeal dysphagia, including the interpretation of its parameters. The pharyngeal phase of swallowing is a complex event consisted with subsequent muscular contractions and pressure gen-eration to move a bolus from the mouth to the esophagus. Recently, high-resolution impedance manometry (HRIM) was devel-oped and used for the evaluation of pharyngeal dysphagia. Although HRIM provides precise pharyngeal pressure information, it has yet to be used as part of routine clinical practice for the assessment of dysphagia. The main reasons are thought to be that the test method and result interpretation are not easily applicable and standardized. The anatomical landmarks for HRIM parameters are velopharynx, tongue base, epiglottis, low pharynx, and upper esophageal sphincter. With HRIM, the pressure and timing data could be obtained at a precise anatomical structure. In the present review, we will review how to apply HRIM for the evaluation of pharyngeal dysphagia, including the interpretation of its parameters.(J Neurogastroenterol Motil 2015;21:283-287).The pharyngeal phase of swallowing is a complex event consisted with subsequent muscular contractions and pressure gen-eration to move a bolus from the mouth to the esophagus. Recently, high-resolution impedance manometry (HRIM) was devel-oped and used for the evaluation of pharyngeal dysphagia. Although HRIM provides precise pharyngeal pressure information, it has yet to be used as part of routine clinical practice for the assessment of dysphagia. The main reasons are thought to be that the test method and result interpretation are not easily applicable and standardized. The anatomical landmarks for HRIM parameters are velopharynx, tongue base, epiglottis, low pharynx, and upper esophageal sphincter. With HRIM, the pressure and timing data could be obtained at a precise anatomical structure. In the present review, we will review how to apply HRIM for the evaluation of pharyngeal dysphagia, including the interpretation of its parameters.(J Neurogastroenterol Motil 2015;21:283-287). |
Author | Park, Donghwi Ryu, Ju Seok Kang, Jin Young |
AuthorAffiliation | 2 Department of Rehabilitation Medicine, St. Paul’s Hospital, College of Medicine, The Catholic University, Seoul, Korea 1 Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Gyeonggi-do, Korea |
AuthorAffiliation_xml | – name: 2 Department of Rehabilitation Medicine, St. Paul’s Hospital, College of Medicine, The Catholic University, Seoul, Korea – name: 1 Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Gyeonggi-do, Korea |
Author_xml | – sequence: 1 givenname: Ju Seok surname: Ryu fullname: Ryu, Ju Seok organization: Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Gyeonggi-do, Korea – sequence: 2 givenname: Donghwi surname: Park fullname: Park, Donghwi organization: Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Gyeonggi-do, Korea – sequence: 3 givenname: Jin Young surname: Kang fullname: Kang, Jin Young organization: Department of Rehabilitation Medicine, St. Paul’s Hospital, College of Medicine, The Catholic University, Seoul, Korea |
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Cites_doi | 10.1136/gut.2007.127993 10.1007/s00455-010-9320-2 10.1002/ar.10020 10.1111/j.1365-2982.2005.00662.x 10.1053/j.gastro.2011.02.051 10.1038/ajg.2011.143 10.1002/lary.21150 10.1111/dote.12101 10.1016/j.otohns.2009.10.033 10.1044/1092-4388(2011/11-0088) 10.1177/000348941011900602 |
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References | ref13 ref12 ref11 ref10 ref2 ref1 ref8 ref7 ref9 ref4 ref3 ref6 ref5 22232390 - J Speech Lang Hear Res. 2012 Jun;55(3):892-902 20583734 - Ann Otol Rhinol Laryngol. 2010 Jun;119(6):369-76 21264672 - Dysphagia. 2011 Mar;26(1):3-12 17895358 - Gut. 2008 Mar;57(3):405-23 21556039 - Am J Gastroenterol. 2011 Oct;106(10):1796-802 21108425 - Laryngoscope. 2010 Dec;120(12):2367-73 15836450 - Neurogastroenterol Motil. 2005 Jun;17 Suppl 1:3-12 11745092 - Anat Rec. 2001 Dec 1;264(4):367-77 24938299 - J Neurogastroenterol Motil. 2014 Jul 31;20(3):362-70 20115977 - Otolaryngol Head Neck Surg. 2010 Feb;142(2):214-7 2971031 - J Anat. 1988 Feb;156:27-37 23855892 - Dis Esophagus. 2014 Apr;27(3):220-9 21354152 - Gastroenterology. 2011 May;140(5):1454-63 |
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Title | Application and Interpretation of High-resolution Manometry for Pharyngeal Dysphagia |
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