Clinical Applications of Esophageal Multichannel Intraluminal Impedance Testing

Overview

Journal Gastroenterol Hepatol (N Y)

Specialty Gastroenterology

Date 2017 Mar 14

PMID 28286455

Citations 1

Authors

Radu Tutuian

Donald O Castell

Affiliations

Soon will be listed here.

Abstract

Multichannel intraluminal impedance is a relatively new technology that allows detection of bolus movement in the gastrointestinal tract without the use of radiation. In clinical applications it is combined with manometry, allowing a better evaluation of the functional characteristics (ie, bolus transit) of esophageal motility abnormalities. When combined with pH monitoring, it provides more comprehensive data on both acid and nonacid gastroesophageal reflux.

Citing Articles

Improving High-resolution Impedance Manometry Using Novel Viscous and Super-viscous Substrates in the Supine and Upright Positions: A Pilot Study.

Wong U, Person E, Castell D, von Rosenvinge E, Raufman J, Xie G J Neurogastroenterol Motil. 2018; 24(4):570-576.

PMID: 30122029 PMC: 6175560. DOI: 10.5056/jnm18010.

References

Fass R, Ofman J, Gralnek I, JOHNSON C, Camargo E, Sampliner R . Clinical and economic assessment of the omeprazole test in patients with symptoms suggestive of gastroesophageal reflux disease. Arch Intern Med. 1999; 159(18):2161-8. DOI: 10.1001/archinte.159.18.2161. View

Tutuian R, Vela M, Balaji N, Wise J, Murray J, Peters J . Esophageal function testing with combined multichannel intraluminal impedance and manometry: multicenter study in healthy volunteers. Clin Gastroenterol Hepatol. 2004; 1(3):174-82. DOI: 10.1053/cgh.2003.50026. View

Tutuian R, Mainie I, Agrawal A, Gideon R, Katz P, Castell D . Symptom and function heterogenicity among patients with distal esophageal spasm: studies using combined impedance-manometry. Am J Gastroenterol. 2006; 101(3):464-9. DOI: 10.1111/j.1572-0241.2006.00408.x. View

Velasco N, Pope 2nd C, Gannan R, Roberts P, Hill L . Measurement of esophageal reflux by scintigraphy. Dig Dis Sci. 1984; 29(11):977-82. DOI: 10.1007/BF01311246. View

Fass R . Empirical trials in treatment of gastroesophageal reflux disease. Dig Dis. 2000; 18(1):20-6. DOI: 10.1159/000016930. View

Sifrim D, Castell D, Dent J, Kahrilas P . Gastro-oesophageal reflux monitoring: review and consensus report on detection and definitions of acid, non-acid, and gas reflux. Gut. 2004; 53(7):1024-31. PMC: 1774114. DOI: 10.1136/gut.2003.033290. View

Tutuian R, Castell D . Clarification of the esophageal function defect in patients with manometric ineffective esophageal motility: studies using combined impedance-manometry. Clin Gastroenterol Hepatol. 2004; 2(3):230-6. DOI: 10.1016/s1542-3565(04)00010-2. View

Simren M, Silny J, Holloway R, Tack J, Janssens J, Sifrim D . Relevance of ineffective oesophageal motility during oesophageal acid clearance. Gut. 2003; 52(6):784-90. PMC: 1773669. DOI: 10.1136/gut.52.6.784. View

Helm J, Dodds W, Pelc L, Palmer D, Hogan W, Teeter B . Effect of esophageal emptying and saliva on clearance of acid from the esophagus. N Engl J Med. 1984; 310(5):284-8. DOI: 10.1056/NEJM198402023100503. View

10.

Stein H, Kauer W, Feussner H, Siewert J . Bile acids as components of the duodenogastric refluxate: detection, relationship to bilirubin, mechanism of injury, and clinical relevance. Hepatogastroenterology. 1999; 46(25):66-73. View

11.

Vela M, Srinivasan R, Tutuian R, Katz P, Castell D . Simultaneous intraesophageal impedance and pH measurement of acid and nonacid gastroesophageal reflux: effect of omeprazole. Gastroenterology. 2001; 120(7):1599-606. DOI: 10.1053/gast.2001.24840. View

12.

van Herwaarden M, Samsom M, Wolf C, Leong I, Smout A . Computer analysis of prolonged lower oesophageal sphincter pressure recordings. Neurogastroenterol Motil. 2001; 13(1):37-44. DOI: 10.1046/j.1365-2982.2001.00238.x. View

13.

Sifrim D, Holloway R, Silny J, Xin Z, Tack J, Lerut A . Acid, nonacid, and gas reflux in patients with gastroesophageal reflux disease during ambulatory 24-hour pH-impedance recordings. Gastroenterology. 2001; 120(7):1588-98. DOI: 10.1053/gast.2001.24841. View

14.

Skopnik H, Silny J, Heiber O, Schulz J, Rau G, Heimann G . Gastroesophageal reflux in infants: evaluation of a new intraluminal impedance technique. J Pediatr Gastroenterol Nutr. 1996; 23(5):591-8. DOI: 10.1097/00005176-199612000-00014. View

15.

Wenzl T, Silny J, Schenke S, Peschgens T, Heimann G, Skopnik H . Gastroesophageal reflux and respiratory phenomena in infants: status of the intraluminal impedance technique. J Pediatr Gastroenterol Nutr. 1999; 28(4):423-8. DOI: 10.1097/00005176-199904000-00014. View

16.

Imam H, Shay S, Ali A, Baker M . Bolus transit patterns in healthy subjects: a study using simultaneous impedance monitoring, videoesophagram, and esophageal manometry. Am J Physiol Gastrointest Liver Physiol. 2005; 288(5):G1000-6. DOI: 10.1152/ajpgi.00372.2004. View

17.

Tutuian R, Castell D . Combined multichannel intraluminal impedance and manometry clarifies esophageal function abnormalities: study in 350 patients. Am J Gastroenterol. 2004; 99(6):1011-9. DOI: 10.1111/j.1572-0241.2004.30035.x. View

18.

Sandler R, Everhart J, Donowitz M, Adams E, Cronin K, Goodman C . The burden of selected digestive diseases in the United States. Gastroenterology. 2002; 122(5):1500-11. DOI: 10.1053/gast.2002.32978. View

19.

Sifrim D, Dupont L, Blondeau K, Zhang X, Tack J, Janssens J . Weakly acidic reflux in patients with chronic unexplained cough during 24 hour pressure, pH, and impedance monitoring. Gut. 2005; 54(4):449-54. PMC: 1774432. DOI: 10.1136/gut.2004.055418. View

20.

Nguyen N, Rigda R, Tippett M, Conchillo J, Smout A, Holloway R . Assessment of oesophageal motor function using combined perfusion manometry and multi-channel intra-luminal impedance measurement in normal subjects. Neurogastroenterol Motil. 2005; 17(3):458-65. DOI: 10.1111/j.1365-2982.2005.00646.x. View