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

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

Video Transcription

Video Summary

In the video, Dr. Gowali discusses common pitfalls in HRM (high-resolution manometry). He begins by explaining the importance of recognizing the esophagogastric junction (EGJ) and how to identify it using a high-resolution manometry. He discusses the patterns that occur during breathing and how they can indicate issues with the EGJ. Dr. Gowali then focuses on curled catheters, which can impact the accuracy of the study. He explains that a curled catheter may indicate that the catheter has gone through the lower esophageal sphincter and hit a barrier like the diaphragm or a hernia. He also discusses other scenarios where curled catheters may be observed. Dr. Gowali emphasizes the need for operators to recognize these patterns and avoid them. He then briefly touches on other topics such as esophagus tortuosity, obstructing hernias, and techniques to overcome difficulties during the study. The video ends with Dr. Gowali mentioning that pH and pH impedance topics will be discussed in a future session.<br /><br />No credits were granted in the transcript.

Asset Subtitle

Common Pitfalls in HRM
Common Pitfalls in PH interpretation

Keywords

HRM

high-resolution manometry

esophagogastric junction

curled catheters

esophagus tortuosity