High-resolution manometry for diagnosis of esophageal motor disorders. Introduction in Cuba

• Main Authors: Vivianne Anido Escobar, Tatiana Amable Díaz, Maidolis Labrada Sosa., Mildred Cecilia Armenteros Torre, Zunilda Diaz Drake
• Format: Article
• Language: English
• Published: Universidad de Ciencias Médicas de La Habana 2020-07-01
• Series: Revista Habanera de Ciencias Médicas
• Subjects: manometría esofágica de alta resolución, reflujo, acalasia, trastornos motores del esófago.
• Online Access: http://www.revhabanera.sld.cu/index.php/rhab/article/view/3150

<p><strong>Introduction:</strong> High-resolution esophageal manometry is considered internationally as an optimal method for diagnosis of esophageal motor disorders. Given the recent introduction of the technique in Cuba, it is necessary to demonstrate its usefulness in our country where there is no prior knowledge about the most frequent parameters of normality and high resolution diagnoses.</p><p><strong>Objective:</strong> To determine the usefulness of high-resolution esophageal manometry as a method for the diagnosis of esophageal motor disorders in Cuba.</p><p><strong>Material and methods:</strong> An applied developmental research was designed and carried out at the National Center for Minimal Access Surgery in Havana between June 2017 and June 2019. The study included patients in whom esophageal manometry was performed. The universe consisted of 611 patients and the variables used in the study were recorded.</p><p><strong>Results:</strong> Of the 611 patients who underwent esophageal manometry, 356 were women (58.26 %) and 255 were men (42.73 %), with an average age of 47 and 44 years, respectively. Ineffective motility was the most frequent motor disorder (32,73 %). In patients with Gastroesophageal Reflux Disease, the main damage of the antireflux barrier was the presence of transient lower esophageal sphincter relaxations. Type II achalasia predominated (5,23 %). In these patients, integrated relaxation pressure (IRP) values above 21 were recorded.</p><p><strong>Conclusions:</strong> Values applicable to Cuban patients that allow to establish a high-resolution diagnosis were established.</p>