Masterclass: Advanced GI Endoscopic Imaging (On-Demand) | December 2025-Esophageal motility with FLIP Panometry

Video Transcription

Video Summary

The session detailed advanced esophageal imaging technologies, focusing on esophageal motility assessment via Functional Luminal Imaging Probe (FLIP) panometry. Esophageal symptoms such as swallowing difficulty and chest pain often mimic GERD, causing diagnostic delays, particularly in conditions like achalasia. Traditional tools like high-resolution manometry (HRM) and barium esophagrams have limitations, sometimes missing early or variant motility disorders. FLIP, performed during sedated endoscopy, offers easier, real-time evaluation of esophageal function by measuring esophagogastric junction (EGJ) opening and contractile patterns. The recently developed FLIP Panometry 2.0 classification standardizes its use, aiding earlier diagnosis and better characterization of motility disorders. Combined with endoscopic scoring systems like CARS, FLIP can guide testing strategies, potentially reducing unnecessary manometry. Overall, integrating FLIP into diagnostic algorithms promises improved, timely identification of esophageal motility disorders, addressing symptom overlap and limitations of existing methods.

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Vani Konda

Keywords

Esophageal motility

Functional Luminal Imaging Probe (FLIP)

FLIP panometry 2.0

Esophagogastric junction (EGJ)

High-resolution manometry (HRM)

Achalasia diagnosis