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January 30, 2014AJP Gastrointestinal and Liver Physiology

Water-perfused esophageal high-resolution manometry: normal values and validation

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Key result

Water-perfused high-resolution manometry showed moderate to good agreement with solid-state HRM (e.g., ICC 0.90 for distal contractile integral), with only small differences in outcome measures.

Why the study?

Does water-perfused HRM show acceptable agreement with solid-state HRM in healthy volunteers?

Population

50 healthy volunteers (mean age 35 yr, range 21-64 yr; 15 women, 35 men)

Comparison

Water-perfused high-resolution manometry (HRM) vs Solid-state HRM

Design

Cross-sectional, randomized order of tests

Authors

BKBoudewijn F. KessingUniversity Medical CenterPWPim W. WeijenborgAmsterdam UMC Location University of AmsterdamASA. J. P. M. SmoutAmsterdam University Medical Centers

Discussion

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Implication

May support water-perfused HRM adoption; leaves open validation in symptomatic patients.

Study Design

Type

RCT (n=50)

Randomization

Randomized order (crossover)

Structured PICO

Does water-perfused HRM show acceptable agreement with solid-state HRM in healthy volunteers?

P
Population
50 healthy volunteers (mean age 35 years, 30% female) who underwent both water-perfused and solid-state high-resolution manometry in a randomized order.
I
Intervention
Water-perfused high-resolution manometry (HRM)
C
Comparator
Solid-state HRM
O
Outcome
Normal values (5th-95th percentile ranges) and agreement (intraclass correlation coefficient) between water-perfused and solid-state HRM for contractile front velocity (CFV), distal contractile integral (DCI), distal contraction latency (DL), and integrated relaxation pressure (IRP 4s)surrogate

Main Result

Effect estimate: ICC 0.39 to 0.90

Water-perfused HRM yields normal values comparable to solid-state HRM with moderate to good agreement, validating its use for esophageal manometry.

Cite This Study

Kessing et al. (2014) conducted an RCT in Healthy volunteers (n=50). Water-perfused high-resolution manometry (HRM) vs. Solid-state HRM was evaluated on Agreement between water-perfused and solid-state HRM (assessed via intraclass correlation coefficient) (ICC 0.39 to 0.90). Water-perfused high-resolution manometry showed moderate to good agreement with solid-state HRM (e.g., ICC 0.90 for distal contractile integral), with only small differences in outcome measures.

synapsesocial.com/papers/6a6344e8cd7899abd6b6fbc1https://doi.org/10.1152/ajpgi.00447.2013
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Normal values for esophageal high‐resolution manometry2013 · 89 citations
  2. 2Chicago classification criteria of esophageal motility disorders defined in high resolution esophageal pressure topography12012 · 778 citations
  3. 3Characterization of the pharyngo-UES contractile reflex in humans1997 · 68 citations
  4. 4Quantifying EGJ morphology and relaxation with high-resolution manometry: a study of 75 asymptomatic volunteers2006 · 218 citations