ASGE Endoscopy Live: Management of Achalasia (On-Demand) | April 2023-Case Demonstration 4

Video Transcription

Video Summary

Dr. John Pandolfino from Northwestern University demonstrates high-resolution esophageal manometry in a video. He discusses the evaluation and performance of manometry in achalasia, emphasizing the heterogeneity of the disease and the importance of not overlooking subtle nuances. Dr. Pandolfino also mentions the difference between using manometry to diagnose achalasia and using it for follow-up purposes. He shares that he uses high-resolution manometry for follow-up at 6 to 12 months, but outside of research protocols, he prefers to use time-varying esophagram and functional luminal imaging probe if the esophagram is abnormal. He presents several cases to illustrate the different patterns seen in achalasia and describes the significance of various measurements and observations. He concludes by discussing the benefits and limitations of manometry and its role alongside other diagnostic tests.

Keywords

high-resolution esophageal manometry

achalasia

evaluation

follow-up

diagnosis

limitations