09-08-2023 | Dysphagia | Research Communication
Standardized Assessment of Esophageal Body Peristalsis on Barium Esophagram Correlates with Non-obstructive Dysphagia
Authors:
Luca Giulini, MD, Andres R. Latorre-Rodriguez, MD, Deepika Razia, MD, Sumeet K. Mittal, MD, FACS
Published in:
Journal of Gastrointestinal Surgery
|
Issue 11/2023
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Excerpt
The Chicago classification v4.0 (CC) based on high-resolution manometry (HRM) is the current standard system for defining esophageal peristaltic disorders (EPDs), despite the weaknesses and pitfalls of HRM when applied alone.
1 Unfortunately, EPDs defined by HRM do not always correlate with patient-reported symptoms. Although barium esophagram (BE) assessment of esophageal motility is not standardized, it offers a real-time evaluation of both anatomy (e.g., dilation) and function (e.g., contractility) and is a valuable modality for assessing EPDs.
2,3 For example, our group recently reported a significant association between bolus transit time on BE in prone position, esophageal peristalsis on HRM, and patient-reported non-obstructive dysphagia.
4 …