ArticleUnited European gastroenterology journal2018
Esophageal shortening after rapid drink test during esophageal high-resolution manometry: A relevant finding?
Article in United European gastroenterology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Radiofrequency ablation reduces esophageal hypersensitivity in refractory non-erosive reflux disease.Frontiers in medicine · 2026Article
- Esophageal high-resolution manometry demands visual interpretation in addition to mathematical software-based analysis.Langenbeck's archives of surgery · 2023Article
- From Chicago classification v3.0 to v4.0: Diagnostic changes and clinical implications.Neurogastroenterology and motility · 2023Article
- Changes in the esophagogastric junction outflow obstruction manometric feature based on the Chicago Classification updates.World journal of gastroenterology · 2022Article
- [Chicago Classification ver. 4.0: Diagnosis of Peristaltic Disorder].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2022Review
- Esophageal hyposensitivity in achalasia cardia: Do we finally have an answer?United European gastroenterology journal · 2020Article
- Achalasia guideline: another step towards standardization of its management.United European gastroenterology journal · 2020Article
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Authors and funding
4 authors.
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Abstract
backgroundEsophageal shortening (ES) might be observed during high-resolution manometry (HRM), in particular after the rapid drink test (RDT). We aimed to assess its diagnostic value in patients referred for HRM.
methodsHRM of patients without previous esophagogastric surgery or endoscopic treatment was retrospectively reviewed using the Chicago Classification v3.0. ES and pan-esophageal pressurization were analyzed during the RDT (200-ml free drinking in a sitting position).
resultsA total of 2141 cases (1291 females, mean age 54 years) were reviewed. During the RDT, ES occurred in 4% and pan-esophageal pressurization in 14% of patients. ES was almost exclusively encountered in patients with impaired esophagogastric junction relaxation or major disorders of peristalsis. Among 31 patients with ES and no definite diagnosis of achalasia, 19 had follow-up and 13 (68%) changed diagnostic category: two adenocarcinoma of the cardia, and 11 cases of atypical achalasia. The positive predictive value of ES for a significant esophageal disorder was 95%.
conclusionES is rarely observed during the RDT. When present, it is associated with major motility disorders, especially achalasia. When the diagnostic criteria for achalasia are not fulfilled, further complementary examinations should be performed to rule out incomplete forms of achalasia or an infiltrative process of the cardia.
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