Journal article
High-Resolution Pharyngeal Manometry and Impedance: Protocols and Metrics-Recommendations of a High-Resolution Pharyngeal Manometry International Working Group
Dysphagia, Vol.35(2), pp.281-295
04/01/2020
DOI: 10.1007/s00455-019-10023-y
PMID: 31168756
Abstract
High-resolution manometry has traditionally been utilized in gastroenterology diagnostic clinical and research applications. Recently, it is also finding new and important applications in speech pathology and laryngology practices. A High-Resolution Pharyngeal Manometry International Working Group was formed as a grass roots effort to establish a consensus on methodology, protocol, and outcome metrics for high-resolution pharyngeal manometry (HRPM) with consideration of impedance as an adjunct modality. The Working Group undertook three tasks (1) survey what experts were currently doing in their clinical and/or research practice; (2) perform a review of the literature underpinning the value of particular HRPM metrics for understanding swallowing physiology and pathophysiology; and (3) establish a core outcomes set of HRPM metrics via a Delphi consensus process. Expert survey results were used to create a recommended HRPM protocol addressing system configuration, catheter insertion, and bolus administration. Ninety two articles were included in the final literature review resulting in categorization of 22 HRPM-impedance metrics into three classes: pharyngeal lumen occlusive pressures, hypopharyngeal intrabolus pressures, and upper esophageal sphincter (UES) function. A stable Delphi consensus was achieved for 8 HRPM-Impedance metrics: pharyngeal contractile integral (CI), velopharyngeal CI, hypopharyngeal CI, hypopharyngeal pressure at nadir impedance, UES integrated relaxation pressure, relaxation time, and maximum admittance. While some important unanswered questions remain, our work represents the first step in standardization of high-resolution pharyngeal manometry acquisition, measurement, and reporting. This could potentially inform future proposals for an HRPM-based classification system specifically for pharyngeal swallowing disorders.
Details
- Title: Subtitle
- High-Resolution Pharyngeal Manometry and Impedance: Protocols and Metrics-Recommendations of a High-Resolution Pharyngeal Manometry International Working Group
- Creators
- Taher I Omari - Flinders UniversityMichelle Ciucci - University of Wisconsin–MadisonKristin Gozdzikowska - University of CanterburyEster Hernández - University of CanterburyKatherine Hutcheson - The University of Texas MD Anderson Cancer CenterCorinne Jones - University of Wisconsin–MadisonJulia Maclean - St George HospitalNogah Nativ-Zeltzer - University of California, DavisEmily Plowman - University of FloridaNicole Rogus-Pulia - University of Wisconsin–MadisonNathalie Rommel - University Hospitals Leuven, Leuven, BelgiumAshli O'Rourke - Medical University of South Carolina
- Resource Type
- Journal article
- Publication Details
- Dysphagia, Vol.35(2), pp.281-295
- DOI
- 10.1007/s00455-019-10023-y
- PMID
- 31168756
- NLM abbreviation
- Dysphagia
- ISSN
- 0179-051X
- eISSN
- 1432-0460
- Language
- English
- Date published
- 04/01/2020
- Academic Unit
- Communication Sciences and Disorders
- Record Identifier
- 9985217030502771
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