ASGE Endoscopy Live: Management of Achalasia | April 2023-Case Demonstration 4

Video Transcription

Video Summary

Dr. John Pandolfino from Northwestern University demonstrates high-resolution esophageal manometry and discusses the evaluation and follow-up of patients with achalasia. He highlights the heterogeneity of achalasia and the importance of recognizing its nuances in patient evaluation. Dr. Pandolfino discusses the differences between diagnosing and following up on achalasia, mentioning the use of high-resolution manometry for follow-up but favoring time-varying esophagram and functional luminal imaging probe for abnormal esophagram results. He showcases several examples of manometry studies to illustrate different patterns of achalasia and emphasizes the importance of clinical diagnosis over extensive and uncomfortable exams for confirmation. Dr. Pandolfino also discusses the significance of esophageal pressure levels, the distinction between type 1 and type 2 achalasia, and the use of multiple rapid swallows and rapid drink challenges in manometry studies. He concludes by mentioning the value of post-treatment assessments through esophagram and the potential limitations and benefits of high-resolution manometry in patient management.

Keywords

high-resolution esophageal manometry

achalasia evaluation

patient follow-up

clinical diagnosis

esophageal pressure levels

manometry studies