Publications by authors named "Roseann Mendoza"
Background: There are frequent discrepancies among high-resolution manometry (HRM), functional lumen imaging probe (FLIP), and esophagram in identifying lower esophageal sphincter (LES)-related obstruction. We aimed to determine the frequency of those discrepancies and how they influenced clinical treatment/outcomes.
Methods: We identified patients who had all three tests (HRM, FLIP, and esophagram) and endoscopy performed for evaluation of esophageal symptoms in our Center for Esophageal Diseases.
Article Synopsis
- High-resolution manometry (HRM) is the standard method for diagnosing esophageal motility disorders, while Functional Lumen Imaging Probe (FLIP) panometry offers additional insights into esophageal compliance and contractions.
- A study reviewed the clinical impact of FLIP panometry alongside HRM in 186 cases, finding that absent contractility and various types of achalasia displayed different secondary contraction patterns, with many cases of EGJ outflow obstruction showing low distensibility.
- FLIP panometry confirmed HRM findings for conditions like achalasia, but also revealed potential motility issues that HRM might miss, suggesting further research is necessary to address discrepancies between these methods and expand diagnostic possibilities.
Background: Functional lumen imaging probe (FLIP) panometry can show spastic secondary contractile patterns of unclear significance in symptomatic patients who have no esophageal obstructive disorders, and no motility disorders on high-resolution manometry (HRM).
Methods: We retrospectively analyzed non-obstructed, symptomatic patients with HRM findings of no motility disorder or ineffective esophageal motility (IEM) for whom spastic secondary contractile patterns identified by FLIP panometry were used to guide treatment. Symptoms were scored using the Brief Esophageal Dysphagia Questionnaire (BEDQ).