Manometry Test in Indore

Manometry is a procedure to measure pressure and peristalsis within various parts of the intestine, mainly in the esophagus (food pipe) and rectum. Maometery is two types.

High-resolution Esophageal Manometry (HREM)

This test assesses the whole food pipe’s motility function, including upper and lower esophageal sphincter pressure and esophagus body motility (peristalsis).

HREM did when pt has difficulty in swallowing, pain during swallowing, heartburn or regurgitation, and chest pain not due to a heart problem. These symptoms are present in GERD (Gastroesophageal reflux disease), achalasia cardia, diffuse esophageal spasm, Jackhammer esophagus, and hypertensive lower esophageal sphincter. It also is used to evaluate esophageal anatomy such as hiatus hernia before certain therapeutic procedures like fundoplication, pneumatic dilatation, and POEM (per oral endoscopic myotomy) surgery.

Pt requires 6 hrs fasting before the procedure no sedation is needed, and only local anesthetic spray in the nose is required. A high-resolution manometry catheter (a small, flexible tube about 4 mm in diameter) which has multiple pressure sensors, is passed through your nose, down your esophagus, and into your stomach. You may feel some discomfort, but most patients quickly adjust to the tube’s presence. Vomiting and coughing are possible when the tube is being placed, but are rare. During the test, you will be asked to swallow a small amount of water to evaluate how well the sphincter and muscles are working. It is 15 to 20 minutes procedure.

High-resolution Anorectal Manometry (HRAM)

Similarly esophageal manometry, this procedure is performed to measures the pressures of the anal sphincter muscles, the sensation in the rectum, and the neural reflexes that are needed for normal bowel movements. This test is done in constipation, fecal incontinence, hirschsprung disease, and defecation disorders.

A pressure transducer (catheter) is placed in the rectum through the anal sphincter during the procedure. Before this test pt has to prepare either a bowel wash or with enema, to empty the rectum. Pt is asked to lie on the left side and pt is not sedated. This procedure takes 15 to 20 minutes to complete. We measure anal sphincter pressure, rectal sensation, and balloon expulsion test.