High Resolution Esophageal Manometry
The entire esophagus at first sight.
The high-resolution esophageal manometry from Standard Instrument provides the examiner first of all with the opportunity to assess the entire esophagus including sphincters immediately and in real time.
Esophageal disorders can be diagnosed earlier, more precise and faster. Thanks to multiple transducers the catheter only needs to be positioned once - which increases the patient and user comfort considerably. By use of the easy to understand topography, as well as a standardized evaluation based on the Chicago classification, it is possible to come to a reliable diagnosis within 15 minutes.
The ISOLAB HR® and MALT® products from Standard Instrument, which are two of the most advanced systems available, will both enable accurate diagnoses in a wide range of Motility disfunctions. Necessary tools in the field of functional diagnostics - 100% Made in Germany
- HR Esophageal Manometry with Impedance: Study
- HR Esophageal Manometry: Catheter
- HR Esophageal Manometry: MALT
Products:
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Hypertensive LES in a 60-year-old patient
Medical History
The patient was admitted with thoracic feeling of pressure radiating into the back, which was accompanied by dyspnea, nausea and headaches. ECG, blood count and echocardiography were unremarkable. The long-term ergometry had to be aborted at 125 watts because of blood pressure decompensation (217 mmHg) and again retrosternal feeling of pressure. A subsequent cardiac catheter examination revealed no abnormalities, a cardiogenic etiology of the complaints could thus be excluded. A gastroscopy and an HR-manometry were performed for exclusion of an esophageal origin for the complaints. The latter showed a hypertensive LES with hypercontractile peristalsis. With simultaneously existing arterial hypertension the therapy was intensified using calcium antagonists and increased to the maximum dose, the patient was free of symptoms during the course.
Figure Hypertensive lower sphincter with hypercontractile esophagus -
Jackhammer esophagus in an 82-year-old patient
Medical History
The patient was admitted for scheduled gastroscopy because of increasing dysphagia for weeks. Previous illnesses included bronchial asthma, status post cholecystectomy, status post hemicolectomy on the right with known Chilaiditi syndrome. The endoscopic examination revealed pronounced stage-like contractions of the esophagus. A suspicion of diffuse esophagospasm was posed. The HR-manometry performed showed the image of a jackhammer esophagus. In the course, a second gastroscopy was performed for therapeutic Botox Injection in the distal esophagus. The patient's complaints were able to be alleviated.
Figure Jackhammer esophagus -
Hypercontractile esophagus in an 49-year-old patient
Medical History
For three months, the patient suffered from epigastric pain, heartburn, retrosternal pressure and nausea. The general condition was significantly reduced. As part of a comprehensive investigation an endoscopic examination of the entire gastrointestinal tract, a capsule endoscopy and abdominal ultrasonography and a CT of the abdomen are performed. None of the examinations provided a clue to the cause of the complaints. Then an HR-manometry was performed for further clarification, and this showed a hypercontractile esophagus. For treatment a therapeutic trial with diltiazem was introduced and this led to a significant improvement in the symptoms.
Figure Hypercontractile esophagus with hypertensive lower and upper esophageal sphincter