Evaluation of esophageal motility during endoscopy with the functional luminal imaging probe

Techniques in Gastrointestinal Endoscopy Pub Date : 2018-07-01 DOI:10.1016/j.tgie.2018.07.004

Dustin A. Carlson MD, MS

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引用次数: 1

Abstract

The functional luminal imaging probe (FLIP) provides a novel method to evaluate the esophageal response to distension. The comprehensive evaluation of esophageal function that includes esophagogastric junction (EGJ) distensibility and distension-induced contractility, i.e. FLIP panometry, provides an appealing method to evaluate esophageal motility at the time of sedated endoscopy. Abnormal EGJ distensibility is a consistently observed finding among patients with achalasia and EGJ outflow obstruction, while the normal contractile response to esophageal distension involves repetitive, antegrade contractions. Thus, the esophageal motility assessment with FLIP panometry was reported to effectively detect abnormal motility, including achalasia, and also may identify functional abnormalities that are not detected on manometry. Ultimately, FLIP panometry offers a well-tolerated method to potentially enhance the clinical evaluation of esophageal motility. This review aims to discuss the evaluation of esophageal motility at the time of endoscopy with FLIP panometry.

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功能性管腔成像探头在内镜检查中对食管运动的评价

功能性管腔成像探针(FLIP)为评估食管对扩张的反应提供了一种新的方法。综合评价食管胃交界(EGJ)的扩张性和扩张性引起的收缩性，即FLIP全景测量法，为评估镇静内镜下食管运动提供了一种有吸引力的方法。在贲门失弛缓症和EGJ流出梗阻患者中，EGJ扩张异常是一个一致的发现，而食管扩张的正常收缩反应包括重复的、顺行性收缩。因此，据报道，用FLIP全测法评估食管运动可以有效地检测异常运动，包括失弛缓症，也可以识别测压法未检测到的功能异常。最终，FLIP测量法提供了一种耐受性良好的方法，可以潜在地增强食管运动的临床评估。本综述旨在讨论在内镜下使用FLIP测量法评估食管运动。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Techniques in Gastrointestinal Endoscopy GASTROENTEROLOGY & HEPATOLOGY-

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期刊介绍： The purpose of each issue of Techniques in Gastrointestinal Endoscopy is to provide a comprehensive, current overview of a clinical condition or surgical procedure in gastrointestinal endoscopy, combining the effectiveness of an atlas with the timeliness of a journal. Each issue places a vigorous emphasis on diagnosis, rationale for and against a procedure, actual technique, management, and prevention of complications. The journal features abundant illustrations, line drawings and color artwork to guide readers through even the most complicated procedure.

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