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1. Introduction
2. Oro-pharyngeal and Esophageal Motility
3. Stages of Swallow
4. Oro-pharyngeal and Esophageal Disorders
5. Fluoroscopy
6. Manometry
7. High-Resolution Manometry
8. Esophageal Pressure Topography
9. High-Resolution Manometry and Impedance
10. Esophageal Pressure-Impedance Topography
11. Esophageal Pressure Topography of the UES
12. Upper Esophageal Sphincter Relaxation
13. Oro-pharyngeal Motility and Dysphagia
14. Functional Elements of a Swallow
15. Central Nervous System Control of Swallowing
16. Oro-pharyngeal Dysphagia
17. Dysphagia - Associated Conditions
18. Patterns of Oro-pharyngeal Dysphagia
19. UES Obstruction / Cricopharyngeal Bar
20. UES Relaxation: Increased Intrabolus Pressure
21. UES Relaxation: CP Bar After Dilation
22. Esophageal Motility and Dysphagia
23. Pressure Topography of Esophageal Motility
24. Esophageal Striated Muscles Peristalsis
25. Central Control of Esophageal Smooth Muscles
26. Esophageal Smooth Muscles Innervation
27. Esophageal Smooth Muscles Nerves Gradient
28. Nerves Gradient - Augmented Contractions
29. Nerves Gradient - Simultaneous Contractions
30. Nerves Gradient - Reduced Contractility
31. EGJ Anatomy and Pressure Morphology
32. HRM EGJ Pressure Morphology
33. Sliding and Paraesophageal Hiatus Hernia
34. Pressure Topography of Esophageal Motility
35. Measuring EGJ Relaxation Pressure
36. Classification Scheme (1)
37. Absent Peristalsis
38. Peristaltic Dysfunction (Hypotensive)
39. High-Resolution Manometry
40. Peristaltic Weakness
41. What Esophageal Manometry Can Do
42. Hypertensive Peristalsis
43. Spasm
44. Clinical Evolution of Achalasia
45. Classic Achalasia
46. Achalasia with Esophageal Compression
47. Spastic Achalasia
48. Response Rates of Achalasia Treatments
49. Functional Obstruction
50. Classification Scheme (2)
51. Summary
52. Acknowledgements

Topics Covered

• Oro-pharyngeal and oesophageal motility can be adequately evaluated using techniques incorporating high-resolution manometry and fluoroscopy
• Major defects in neuromuscular control and function may lead to malnutrition, respiratory complications and a reduction in quality of life
• Oro-pharyngeal and esophageal motor disorders are classified based on patterns of contractile function
• Treatment of motility disorders are determined by manometric patterns of function

Update Available

The speaker was interviewed and summarised developments since the original publication. We recommend listening to the associated interview after watching the lecture.

1. Embed full lecture Full lecture Duration: 53:51 min Embed full lecture
2. Embed Update Interview Update Interview Duration: 24:50 min Embed Update Interview

Links

Series:

• Gastroenterology and Hepatology

Categories:

• Diseases, Disorders & Treatments
• Metabolism & Nutrition

Therapeutic Areas:

• Oral Health

Talk Citation

Publication History

• Published on January 5, 2011
• Updated on May 15, 2020

Financial Disclosures

• Dr. John E. Pandolfino, Consultant: Given, Takeda, Crospon - Speaker's Bureau: Given - Grant/Research Support (Principal Investigator): Crospon.