J Neurogastroenterol Motil.  2013 Jul;19(3):395-404.

Technique of Functional and Motility Test: How to Perform Antroduodenal Manometry

• Patcharatrakul T
• Gonlachanvit S

Abstract

Antroduodenal manometry is one of the methods to evaluate stomach and duodenal motility. This test is a valuable diagnostic tool for gastrointestinal motility disorders especially small intestinal pseudo-obstruction which is difficult to make definite diagnosis by clinical manifestations or radiologic findings. Manometric findings that have no evidence of mechanical obstruction and suggestive of pseudo-obstruction with neuropathy or myopathy can avoid unnecessary surgery and the treatment can be directly targeted. Moreover, among patients who have clinically suspected small intestinal pseudo-obstruction but with normal manometric findings, the alternative diagnosis including psychiatric disorder or other organic disease should be considered. The application of this test to the patients with functional gastrointestinal symptoms especially to find the association of motor abnormalities to the symptom has less impressive yield. Antroduodenal manometry is now readily available only in some tertiary care centers. The aim of this review is to describe the antroduodenal manometry technique, interpretation and clinical utility.

Keyword

Manometry; Gastrointestinal motility; Intestinal pseudo-obstruction

MeSH Terms

Gastrointestinal Motility
Humans
Intestinal Pseudo-Obstruction
Manometry
Muscular Diseases
Stomach
Tertiary Care Centers
Unnecessary Procedures