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This Article Full Text Full Text (PDF) All Versions of this Article: 288/6/G1190    most recent 00478.2004v1 Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (9) Citing Articles via Google Scholar Google Scholar Articles by Bredenoord, A. J. Articles by Smout, A. J. P. M. Search for Related Content PubMed PubMed Citation Articles by Bredenoord, A. J. Articles by Smout, A. J. P. M.

NEUROREGULATION AND MOTILITY

Sleeve sensor versus high-resolution manometry for the detection of transient lower esophageal sphincter relaxations

¹Department of Gastroenterology, Sint Antonius Hospital, Nieuwegein, The Netherlands; and ²Gastrointestinal Research Unit, Department of Gastroenterology, University Medical Center, Utrecht, The Netherlands

Submitted 28 October 2004 ; accepted in final form 11 January 2005

Transient lower esophageal sphincter relaxations (TLESRs) are the most important mechanism by which gastroesophageal reflux occurs, and sleeve sensor manometry is the gold standard for detection of TLESRs. The aim of this study was to evaluate manometry with closely spaced sideholes (high-resolution manometry) for the detection of TLESRs as an alternative. In 12 patients with gastroesophageal reflux disease, a 90-min postprandial manometry was performed by using a catheter incorporating both a sleeve sensor and closely spaced sideholes in the esophagogastric junction. TLESRs recorded with both techniques were scored. Reflux during TLESRs was detected by using manometry (common cavity), intraluminal impedance, and pH monitoring. A total of 145 TLESRs were detected by using both techniques, 117 with high-resolution manometry and 108 with sleeve sensor manometry [not significant (NS)]. Manometric signs of reflux during TLESRs detected with high-resolution and sleeve sensor manometry were found in 62.4 and 56.5%, NS, respectively, versus 38.5 and 35.2%, NS on pH-metry and 70.1 and 60.2%, NS on impedance monitoring. TLESRs recognized only with high-resolution manometry were more often accompanied by reflux, as detected with manometry (59.5%) and impedance monitoring (67.6%), than TLESRs recognized only with sleeve sensor manometry (32.1 and 28.6%). High-resolution manometry is at least as accurate as sleeve sensor manometry for the detection of TLESRs.

esophageal manometry; transient lower esophageal sphincter relaxation; gastroesophageal reflux; impedance monitoring

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