ASGE Esophagology: Tailoring Management from Testing to Treatment (On-Demand) | July 2022-Diagnostic Approaches in Esophageal Motility Disorders

Video Transcription

Video Summary

In this video, Dr. John Pandolfino discusses diagnostic approaches in esophageal motility disorders. He emphasizes the importance of using multiple tests in a complementary way to accurately diagnose and treat patients. He highlights the limitations of relying on one specific test and the need for a logical and sequenced approach. Dr. Pandolfino discusses the role of endoscopy in ruling out obstruction and recommends using the ROAM (Radiography, Endoscopy, Laryngoscopy) algorithms as a guide. He also talks about the use of the Chicago classification in diagnosing different motility disorders, focusing on the importance of distinguishing primary hypercontractility from obstructive etiologies. He highlights the use of functional lumen imaging probe (FLIP) technology, which allows for the assessment of esophageal mechanical changes in response to volume distension. Dr. Pandolfino describes how FLIP can be used in combination with other tests to provide a more holistic evaluation of esophageal motility. He concludes by discussing the potential of FLIP to replace manometry as a less invasive diagnostic tool in the future.

Asset Subtitle

Dr. John Pandolfino

Keywords

esophageal motility disorders

diagnostic approaches

endoscopy

ROAM algorithms

Chicago classification

functional lumen imaging probe (FLIP)