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Color Atlas of High Resolution Manometry (Paperback, 2009 ed.)
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Color Atlas of High Resolution Manometry (Paperback, 2009 ed.)
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While reflux disease, achalasia, esophageal spasm, gastroparesis
and IBS include some of the most common disorders in all disease
categories, our understanding of their pathophysiology remains
elusive. The field of clinical gastrointestinal motility has for
decades relied on the measurement of intraluminal pressures to
deduce intestinal movements that define these difficult and
enigmatic disorders of gut function. Although computers have
greatly facilitated the analysis of data obtained from intraluminal
pressure recordings, the sensors and catheters used to measure
intraluminal pressures have changed little over the last 20 years.
In the last 3 years, a new technologic breakthrough has taken place
in the evaluation of gastrointestinal motor function. It is called
high-resolution manometry. Rather than the old 4 to 8 channel
conventional systems used to measure intraluminal pressure,
high-resolution catheters employ 36 closely spaced, solid state
pressure transducers. This technology enhances the resolution of
gut motor activity incredibly. By using color to depict pressure,
high-resolution color contours are beautiful images that give a
detailed spatial and temporal picture of gastrointestinal motor
function that was previously impossible. By recognizing motor
patterns, diagnoses can be made that are very difficult, if not
impossible, to appreciate with the old technology. High-resolution
manometry is a dramatic technical leap in a long time stagnant
field.
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