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An understanding of basic physiological principles allows the clinician to analyze and address patient problems. In this chapter, we will present cases and ask you to evaluate them. Feel free to discuss the questions with your classmates/colleagues or to utilize other sources to answer the questions. The key objectives include (1) describing the role of esophageal manometry for evaluating refractory GERD patients, (2) defining achalasia and delineating the role of esophageal manometry in making a diagnosis, (3) examining the importance of diffuse esophageal spasm as a cause of noncardiac chest pain and the role of esophageal manometry in management, (4) defining Hirschsprung’s disease and delineating the role of anorectal manometry in making the diagnosis, and (5) describing the role of anorectal manometry in the evaluation and management of fecal incontinence. |
