My Manometry results

[Guest guest]

Hi,

I have just been diagnosed with achalasia based on the barium swallow ( that

showed a dilated oesophagus) and the manometric results. I was hoping that

somebody could look at the interpretation and confirm that the diagnosis is

accurate.

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The patient had hihg resolution esophageal manometry performed on 10/31. The

Sandhill HRiM probe was placed down the nares. No medication given and no

difficulty seen.

FINDINGS:

1) The LES: proximal LES was located at 40.6 cm, the distal LES was at 45 cm,

the total LES lenght was 4.4 cm.The LES pressure was at 23 mm, normal between

10 and 45. The LES on residual pressure was l1.4, on both the liquid and viscous

swallow. This is elevated. Normal is less than 8 mm.

2) Esophageal body; There is only 305 bolus transit with the liquid swallow.

Normal is greater than 80%. This was consistent with viscous swallow. There was

no complete bolus transit in viscous swallow. Normal viscous swallow is greater

that 70%. The mid-oesophageal amplitude measured between 21 mm in the liquid

which is normal. Normal is between 30 and 180 mm Hg. In the viscous swallow, the

mid-oesophageal amplitude is 35 and 31 respectively. Again, normal is between 30

and 180 mm Hg. The distal oesophageal pressure was 31 and 37 for liquid and

viscous. There was less than 20% peristaltic contractions on liquid and viscous.

There is 50% simultaneous contractions with both liquid and viscous

IMPRESSION:

There is gross abnormal oesophageal motility study with incomplete bolus

transit, 305 with liquids and 0% with solids.Esophageal pressures were low to

lower limits of normal. There was elevated LES residual pressure. There was poor

peristaltic contracstions and simultaneous contractions. All these findings are

consistent with achalasia.