Can the marshmallow esophagram replace high-resolution manometry as an appropriate screening for esophageal motility prior to anti-reflux surgery? - 08/12/22
Abstract |
Backgound |
The purpose of our study was to evaluate the use of minimally invasive Marshmallow Swallow Study (MSS) as a preoperative screening technique for patients and correlate marshmallow results with High Resolution Manometry (HRM) results and post-operative dysphagia following antireflux surgery. Methods: A retrospective electronic chart review of data on 61 adult patients undergoing MSS was completed. Patients were included if they completed the MSS as well as: HRM and/or antireflux surgery. Results: Sixty-one patients completed MSS. Of the 37 patients that completed HRM, 27 had abnormal results. 23 of these 27 patients who had abnormal results also failed MSS. The NPV for a failure on the MSS and abnormal HRM results is 0.767(p-value = 0.360). The PPV for a pass on the MSS and no post-operative dysphagia is 0.833 (p-value = 0.656). Conclusions: MSS is an effective screening tool for ruling out major esophageal motility disorders and can prevent need for invasive HRM.
Le texte complet de cet article est disponible en PDF.Highlights |
• | There is not a current standardized approach to evaluate candidacy for anti-reflux surgery. |
• | Marshmallow swallow study (MSS) is a minimally invasive way to evaluate candidacy for anti-reflux procedures. |
• | MSS follows trends of high resolution manometry (HRM) results. |
Keywords : anti-Reflux surgery, High resolution manometry, Swallow study, Esophageal motility, Dysphagia
Plan
Vol 224 - N° 6
P. 1366-1369 - décembre 2022 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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