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Antroduodenal Manometry

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Book cover Pediatric Neurogastroenterology

Part of the book series: Clinical Gastroenterology ((CG))

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Abstract

Antroduodenal manometry (ADM) provides a useful clinical tool for the qualitative and quantitative assessment of foregut motor function. Although a test still performed in highly specialized GI motility centers requiring expertise in interpretation, ADM has provided an improved understanding of normal physiology of the foregut and of disorders that arise from disruption neuromuscular function in this region. It has allowed the recognition of normal patterns of motility including the variation in phasic contractile activity that occurs during fasting and postprandially. Utilizing visual examples the chapter describes these normal patterns as well as those that indicate disorder both organic and functional. Technical and practical methodological aspects related to performing ADM tests on pediatric patients are discussed including equipment, protocols, indications, limitations, and analysis. It is likely that technological advances including the use of high resolution will broaden the applicability of ADM in the clinical evaluation of enteric neuromuscular disorders.

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Author information

Authors and Affiliations

  1. Division of Neurogastroenterology & Motility, Department of Paediatric Gastroenterology, ICH University College of London, Great Ormond Street Hospital for Children, London, UK

    Osvaldo Borrelli M.D., Ph.D.

  2. Division of Neurogastroenterology & Motility, Department of Paediatric Gastroenterology, Great Ormond Street Hospital for Children, London, UK

    Valentina Giorgio

  3. Division of Neurogastroenterology and Motility, Gastroenterology Unit, University College London, Institute of Child Health, London, UK

    Nikhil Thapar B.Sc.(hon), B.M.(hon), M.R.C.P., M.R.C.P.C.H., Ph.D.

  4. Department of Paediatric Gastroenterology, Great Ormond Street Hospital for Children, London, UK

    Nikhil Thapar B.Sc.(hon), B.M.(hon), M.R.C.P., M.R.C.P.C.H., Ph.D.

Authors
  1. Osvaldo Borrelli M.D., Ph.D.
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  2. Valentina Giorgio
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  3. Nikhil Thapar B.Sc.(hon), B.M.(hon), M.R.C.P., M.R.C.P.C.H., Ph.D.
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Corresponding author

Correspondence to Osvaldo Borrelli M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Sainte-Justine Hospital, Department of Pediatrics, Division of Pediatric Gastroenterology, Université de Montréal, Montreal, H3T 1C5, Québec, Canada

    Christophe Faure

  2. Nationwide Children's Hospital, Division of Pediatric Gastroenterology, The Ohio State University, Columbus, 43205, Ohio, USA

    Carlo Di Lorenzo

  3. Gastroenterology and Neural Development, University College London, Institute of Child Health, Great Ormond Street Hospital for Children, London, WC1N 1EH, United Kingdom

    Nikhil Thapar

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Borrelli, O., Giorgio, V., Thapar, N. (2013). Antroduodenal Manometry. In: Faure, C., Di Lorenzo, C., Thapar, N. (eds) Pediatric Neurogastroenterology. Clinical Gastroenterology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-709-9_9

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  • DOI: https://doi.org/10.1007/978-1-60761-709-9_9

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  • Online ISBN: 978-1-60761-709-9

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