Can the marshmallow esophagram replace high-resolution manometry as an appropriate screening for esophageal motility prior to anti-reflux surgery?

Autor: Caudell CW; University of South Carolina School of Medicine Greenville, Prisma Health Upstate, USA. Electronic address: caudellc@email.sc.edu., Covil EP; University of South Carolina School of Medicine Greenville, Prisma Health Upstate, USA., Gilpin JW; University of South Carolina School of Medicine Greenville, Prisma Health Upstate, USA., Hodgens B; University of South Carolina School of Medicine Greenville, Prisma Health Upstate, USA., Ewing A; University of South Carolina School of Medicine Greenville, Prisma Health Upstate, USA., Kothari SN; University of South Carolina School of Medicine Greenville, Prisma Health Upstate, USA.
Jazyk: angličtina
Zdroj: American journal of surgery [Am J Surg] 2022 Dec; Vol. 224 (6), pp. 1366-1369. Date of Electronic Publication: 2022 Oct 18.
DOI: 10.1016/j.amjsurg.2022.10.036
Abstrakt: Backgound: The purpose of our study was to evaluate the use of minimally invasive Marshmallow Swallow Study (MSS) as a preoperative screening technique for patients and correlate marshmallow results with High Resolution Manometry (HRM) results and post-operative dysphagia following antireflux surgery.
Methods: A retrospective electronic chart review of data on 61 adult patients undergoing MSS was completed. Patients were included if they completed the MSS as well as: HRM and/or antireflux surgery.
Results: Sixty-one patients completed MSS. Of the 37 patients that completed HRM, 27 had abnormal results. 23 of these 27 patients who had abnormal results also failed MSS. The NPV for a failure on the MSS and abnormal HRM results is 0.767(p-value = 0.360). The PPV for a pass on the MSS and no post-operative dysphagia is 0.833 (p-value = 0.656).
Conclusions: MSS is an effective screening tool for ruling out major esophageal motility disorders and can prevent need for invasive HRM.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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