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Year : 2021  |  Volume : 1  |  Issue : 4  |  Page : 135-138

Ancillary techniques and maneuvers in high resolution esophageal manometry

1 Department of Gastroenterology, Arihant Hospital and Research Centre, Indore, Madhya Pradesh, India
2 Department of Gastroenterology, Gleneagles Global Health City, Porur, Chennai, Tamil Nadu, India
3 Department of Hepatology, Sri Ramachandra Medical College, Porur; Consultant Gastroenterologist, Gleneagles Global Health City, Chennai, Tamil Nadu, India

Correspondence Address:
Mayank Jain
297, Indrapuri, Near Bhanwarkuan, Indore - 452 001, Madhya Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ghep.ghep_15_21

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High-resolution esophageal manometry (HREM) is a technique to determine the function of esophageal musculature and integrity of esophagogastric junction. Conventionally, the HREM study is done in the supine position using ten swallows of 5 ml water each. Apart from this mandatory testing, ancillary testing and maneuvers are undertaken to elicit detailed physiological information. These include multiple rapid swallows, rapid drink tests, testing in the upright position with solid swallows, and pharmacological testing. The present review highlights these techniques and their clinical utility.

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