Vnitr Lek 2018, 64(6):611-620 | DOI: 10.36290/vnl.2018.085

Diagnosis of gastrointestinal motility disorders

Jana Koželuhová*, Karel Balihar, Lucie Zdrhová
Gastroenterologické a hepatologické oddělení I. interní kliniky LF UK a FN Plzeň

Gastrointestinal motility and the effects on luminal contents that are brought about by it can be studied in several ways. In clinical practice, manometry remains one of the most important investigational techniques, in particular for oesophageal and anorectal disorders. Radiographic examination of bolus transit through the gastrointestinal tract also continues to be a valuable tool. Scintigraphy still is the standard for assessment of gastric emptying, but 13C breath tests are an alternative. Many other techniques are used mainly in the context of scientific research but some of these may become incorporated in the diagnostic armamentarium.

Keywords: breath tests; conventional manometry; high-resolution manometry; radiodiagnostic methods; scintigraphy

Received: March 4, 2018; Accepted: April 18, 2018; Published: June 1, 2018  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Koželuhová J, Balihar K, Zdrhová L. Diagnosis of gastrointestinal motility disorders. Vnitr Lek. 2018;64(6):611-620. doi: 10.36290/vnl.2018.085.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Pandolfino JE, Kwiatek MA, Nealis T et al. Achalasia - A New Clinically Relevant Classification by High-Resolution Manometry. Gastroenterology 2008; 135(5): 1526-1533. Dostupné z DOI: <http://dx.doi.org/10.1053/j.gastro.2008.07.022>. Go to original source... Go to PubMed...
    2. Conclin J, Pimentel M, Soffer E (eds). Color Atlas of High Resolution Manometry. Springer 2009. ISBN 978-0387882925. Go to original source...
    3. Wang A, Pleskow DK, Banerjee S et al. [ASGE Technology Committee]. Esophageal function testing. Gastrointest Endosc 2012; 76(2)2: 231-243. Dostupné z DOI: <https://doi.org/10.1016/j.gie.2012.02.022>. Go to original source... Go to PubMed...
    4. Fox M. High resolution manometry - an introduction. 2006. Dostupné z WWW: <http://www.synmed.se/res/ManoScan360/HRM_-Primer_Mark-Fox_29306.pdf>.
    5. Bharucha AE. Recent advances in functional anorectal disorders. Curr Gastroenterol Rep 2011; 13(4): 316-322. Dostupné z DOI: <http://dx.doi.org/10.1007/s11894-011-0194-8>. Go to original source... Go to PubMed...
    6. Whitehead WE, Bharucha AE. Diagnosis and treatment of pelvic floor disorders: what's new and what to do. Gastroenterology 2010; 138(4): 1231-1235. Dostupné z DOI: <http://dx.doi.org/10.1053/j.gastro.2010.02.036>. Go to original source... Go to PubMed...
    7. Lee YY, Erdogan A, Rao SS. High resolution and high definition anorectal manometry and pressure topography: diagnostic advance or a new kid on the block? Curr Gastroenterol Rep 2013; 15(12): 360. Dostupné z DOI: <http://dx.doi.org/10.1007/s11894-013-0360-2>. Go to original source... Go to PubMed...
    8. Deutekom M, Terra MP, Dobben AC et al. Selecting an outcome measure for evaluating treatment in fecal incontinence. Dis Colon Rectum 2005; 48(12): 2294-2301. Dostupné z DOI: <http://dx.doi.org/10.1007/s10350-005-0162-1>. Go to original source... Go to PubMed...
    9. Diamant NE, Kamm MA, Wald A et al. AGA technical review on anorectal testing techniques. Gastroenterology 1999; 116(3): 735-760. Go to original source... Go to PubMed...
    10. Jones MP, Post J, Crowell MD. High-resolution manometry in the evaluation of anorectal disorders: a simultaneous comparison with water-perfused manometry. Am J Gastroenterol 2007; 102(4): 850-855. Dostupné z DOI: <http://dx.doi.org/10.1111/j.1572-0241.2007.01069.x>. Go to original source... Go to PubMed...
    11. Lee YY, Erdogan A, Rao SS. High resolution and high definition anorectal manometry and pressure topography: diagnostic advance or a new kid on the block? Curr Gastroenterol Rep 2013; 15(12): 360. Dostupné z DOI: <http://dx.doi.org/10.1007/s11894-013-0360-2>. Go to original source... Go to PubMed...
    12. Carrington EV, Brokjaer A, Craven H et al. Traditional measures of normal anal sphincter function using high-resolution anorectal manometry (HRAM) in 115 healthy volunteers. Neurogastroenterol Motil 2014; 26(5): 625-635. Dostupné z DOI: <http://dx.doi.org/10.1111/nmo.12307>. Go to original source... Go to PubMed...
    13. Jung KW, Joo S, Yang DH et al. A novel high-resolution anorectal manometry parameter based on a three-dimensional integrated pressurized volume of a spatiotemporal plot, for predicting balloon expulsion in asymptomatic normal individuals. Neurogastroenterol Motil 2014; 26(7): 937-949. Dostupné z DOI:<http://dx.doi.org/10.1111/nmo.12347>. Go to original source... Go to PubMed...
    14. Bredenoord AJ, Hebbard GS. Technical aspects of clinical high-resolution manometry studies. Neurogastroenterol Motil 2012; 24(Suppl 1): S5-S10. Dostupné z DOI: <http://dx.doi.org/10.1111/j.1365-2982.2011.01830.x>. Go to original source... Go to PubMed...
    15. Rao SS. Advances in diagnostic assessment of fecal incontinence and dyssynergic defecation. Clin Gastroenterol Hepatol 2010; 8(11): 910-919. Dostupné z DOI: <http://dx.doi.org/10.1016/j.cgh.2010.06.004>. Go to original source... Go to PubMed...
    16. Bharucha AE, Rao SS. An update on anorectal disorders for gastroenterologists. Gastroenterology 2014; 146(1): 37-45. Dostupné z DOI: <http://dx.doi.org/10.1053/j.gastro.2013.10.062>. Go to original source... Go to PubMed...
    17. Ratuapli SK, Bharucha AE, Noelting J et al. Phenotypic identification and classification of functional defecatory disorders using high-resolution anorectal manometry. Gastroenterology 2013; 144(2): 314-322. Dostupné z DOI: <http://dx.doi.org/10.1053/j.gastro.2012.10.049>. Go to original source... Go to PubMed...
    18. Ekberg O, Olsson R. Dynamic radiology of swallowing disorders. Endoscopy 1997; 29(6): 439-446. Dostupné z DOI: <http://dx.doi.org/10.1055/s-2007-1004248>. Go to original source... Go to PubMed...
    19. Summerton SL. Radiographic evaluation of esophageal function. Gastrointest Endosc Clin N Am 2005; 15(2): 231-242. Dostupné z DOI: <http://dx.doi.org/10.1016/j.giec.2004.10.008>. Go to original source... Go to PubMed...
    20. Kostic SV, Rice TW, Baker ME et al. Timed barium esophagogram: a simple physiologic assessment for achalasia. J Thorac Cardiovasc Surg 2000; 120(5): 935-943. Dostupné z DOI: <http://dx.doi.org/10.1067/mtc.2000.110463>. Go to original source... Go to PubMed...
    21. Metcalf AM, Phillips SF, Zinsmeister AR et al. Simplified assessment of segmental colonic transit. Gastroenterology 1987; 92(1): 40-47. Go to original source... Go to PubMed...
    22. Chaussade S, Khyari A, Roche H et al. Determination of total and segmental colonic transit time in constipated patients. Dig Dis Sci 1989; 34(8): 1168-1172. Go to original source... Go to PubMed...
    23. Evans RC, Kamm MA, Hinton JM et al. The normal range and a simple diagram for recording whole gut transit time. Int J Colorectal Dis 1992; 7(1): 15-17. Go to original source... Go to PubMed...
    24. Cann PA, Read NW, Holdsworth CD et al. Role of loperamide and placebo in management of irritable bowel syndrome (IBS). Dig Dis Sci 1984; 29(3): 239-247. Go to original source... Go to PubMed...
    25. Horowitz M, Maddox AF, Wishart JM et al. Relationships between oesophageal transit and solid and liquid gastric emptying in diabetes mellitus. Eur J Nucl Med 1991; 18(4): 229-234. Go to original source... Go to PubMed...
    26. Abell TL, Camilleri M, Donohoe K et al. Consensus recommendation for gastric emptying scintigraphy: a joint report of the American Neurogastroenterology and Motility Society and the Society of Nuclear Medicine. Am J Gastroenterol 2008; 103(3): 753-763. Dostupné z DOI: <http://dx.doi.org/10.1111/j.1572-0241.2007.01636.x>. Go to original source... Go to PubMed...
    27. Kazem I. A new scintigraphic technique for the study of the esophagus. Am J Roentgenol Radium Ther Nucl Med 1972; 115(4): 681-688. Go to original source... Go to PubMed...
    28. Farmer AD, Wegeberg AML, Brock B et al. Regional gastrointestinal contractility parameters using the wireless motility capsule: inter-observer reproducibility and influence of age, gender and study country. Aliment Pharmacol Ther 2018; 47(3): 391-400. Dostupné z DOI: <http://dx.doi.org/10.1111/apt.14438>. Go to original source... Go to PubMed...
    29. Saad RJ. The wireless motility capsule: One-stop shop for evaluation of GI motility disorders. Curr Gastroenterol Rep 2016; 18(3): 14. Dostupné z DOI: <http://dx.doi.org/10.1007/s11894-016-0489-x>. Go to original source... Go to PubMed...
    30. Bennink RJ, van den Elzen BD, Kuiken SD et al. Noninvasive measurement of gastric accommodation by means of pertechnetate SPECT: limiting radiation dose without losing image quality. J Nucl Med 2004; 45(1): 147-152. Go to PubMed...
    31. van den Elzen BD, Bennink RJ, Wieringa RE et al. Fundic accommodation assessed by SPECT scanning: comparison with the gastric barostat. Gut 2003; 52(11): 1548-1554. Go to original source... Go to PubMed...
    32. Parkman HP, Hasler WL, Barnet JL et al. Electrogastrography: a document prepared by the gastric section of the American Motility Society Clinical GI Motility Testing Task Force. Neurogastroenterol Motil 2003; 15(2): 89-102. Go to original source... Go to PubMed...

    Return to the content


    Vnitřní lékařství

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.