Endoscopy- and Monitored Anesthesia Care-Assisted High-Resolution Impedance Manometry Improves Clinical Management

Table 3

Summary of MAC- and endoscopy-assisted manometry cases.

#	Age	Sex	Pertinent history	Indication for EGD-Assistance	Diagnosis	Recommendation	Outcome
1	32	F	Achalasia s/p HM	Patient discomfort	Type III achalasia s/p HM	Diet modification	Not available
2	51	F	HH repair, Toupet fundoplication	Prior craniofacial fractures	Normal	N/A	Stable symptoms
3	62	F	Type III PEH s/p fundoplication	Severe gagging	Severe IEM s/p fundoplication	Diet modification	Improved dysphagia
4	71	F	Pulmonary fibrosis, GERD	Inability to traverse LES	Type II achalasia	Follow up with pulmonary	Deferred HM, transplant listing
5	52	F	Progressive dysphagia w/ weight loss	Inability to traverse LES	Type II achalasia	POEM performed	Improved dysphagia; weight gain
6	18	M	Dysphagia w/ weight loss	Severe gagging	Type II achalasia	POEM performed	Improved dysphagia; weight gain
7	85	M	Corkscrew esophagram	Inability to traverse LES	DES	Botox injection performed	Improvement in dysphagia
8	63	M	S/p lung transplant, abnormal esophagram	EGD for possible GEJ stricture	EGJOO	PEG for enteral nutrition	Tolerated PEG; stable lung symptoms
9	65	M	Prior craniofacial surgery	Oropharyngeal looping	EGJOO	Calcium channel blocker	No follow up available
10	66	M	Dysphagia w/ weight loss	Inability to traverse LES	Type II achalasia	POEM performed	Improved dysphagia; weight gain
11	58	M	S/p lung transplant, abnormal esophagram	No prior EGD	IEM	GERD management	Stable
12	24	F	Type I achalasia s/p HM	Patient discomfort	Type I achalasia s/p treatment	Diet modification	Not available
13	61	M	Bird's beak esophagram	Probe looping	Absent contractility	Dietary modification	Long hospital stay
14	75	F	GERD, prior candida esophagitis	Gagging	Absent contractility	Bethanechol	Not available

HH: hiatal hernia; HM: Heller myotomy; PEH: paraesophageal hernia; LES: lower esophageal sphincter; GEJ: gastroesophageal junction; IEM: ineffective esophageal motility; DES: diffuse esophageal spasm; EGJOO: esophagogastric junction outflow obstruction; POEM: peroral endoscopic myotomy.