ASGE Esophagology: Tailoring Management from Testing to Treatment (Live and Virtual) | July 2022-CASE Based Discussion Session 4

CASE Based Discussion Session 4 – C. Prakash Gyawali and panel

Video Transcription

Video Summary

In this video, Dr. Gowali presents a case on common pitfalls in HRM (high-resolution manometry) and discusses various patterns seen in the esophagus during manometry studies. He emphasizes the importance of recognizing patterns and avoiding mistakes when conducting these studies. Dr. Gowali explains that a curled catheter is often observed when the catheter has gone through the lower esophageal sphincter (LES) and hit a wall, such as the diaphragm or a gastric pouch. He also discusses situations where the catheter has not traversed the LES or diaphragm properly, leading to abnormal patterns on the manometry study. Dr. Gowali highlights the significance of correctly placing the gastric baseline and describes how different patterns can indicate issues such as obstructions or hernias. He concludes by briefly mentioning pH and pH impedance studies, mentioning that they will be discussed in more detail in a future session. No credits are mentioned in the video transcript.

Asset Subtitle

Common Pitfalls in HRM
Common Pitfalls in PH interpretation

Keywords

HRM

esophagus

manometry studies

catheter placement

abnormal patterns