Case Series
Endoscopy- and Monitored Anesthesia Care-Assisted High-Resolution Impedance Manometry Improves Clinical Management
Table 2
Description and outcomes of MAC- and endoscopy-assisted manometry cases.
| | | | N | % |
| Age | | | 14 | |
| Sex | | | | |
| | Women | | 7 | 50% |
| | Men | | 7 | 50% |
| Indication | | | |
| | Dysphagia | 8 | 57.1% |
| | Recurrent dysphagia | 2 | 14.3% |
| | Recurrent aspiration, dysphagia | 2 | 14.3% |
| | Lung transplant evaluation, GERD | 1 | 7.1% |
| | Atypical chest pain | 1 | 7.1% |
| Reason for requiring endoscopic probe placement | | |
| | Inability to traverse LES | 5 | 35.7% |
| | Gagging | | 3 | 21.4% |
| | Patient discomfort | 2 | 14.3% |
| | EGD indicated | 2 | 14.3% |
| | History of craniofacial fractures | 1 | 7.1% |
| | Looping posterior oropharynx | 1 | 7.1% |
| Findings/Diagnosis | | | |
| | Major motility abnormality | 11 | 78.6% |
| | | Type II achalasia | 4 | 28.6% |
| | | Previously treated achalasia | 2 | 14.3% |
| | | EGJOO | 2 | 14.3% |
| | | Absent contractility | 2 | 14.3% |
| | | DES | 1 | 7.1% |
| | IEM | | 2 | 14.3% |
| | Normal | | 1 | 7.1% |
| Treatment recommendations | | |
| | Interventions | 5 | 35.7% |
| | | POEM | 3 | 21.4% |
| | | Botox injection | 1 | 7.1% |
| | | PEG | 1 | 7.1% |
| | Medical therapy | 3 | 21.4% |
| | Dietary modification | 4 | 28.6% |
| | Other | | 2 | 14.3% |
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