Novel GERD Treatment Concept

Esophageal Function Test & Reflux Monitoring

• Esophageal manometry
  - Esophageal Body Performance
• Reflux Monitoring
• Interpretation of Function Test Data

Esophageal Body Performance

Effective esophageal contractions are required for adequate bolus transport through the esophagus.

Esophageal contraction waves are effective:

• if they exhibit amplitudes > 25 mm Hg
• in the presence of propagated peristalsis.

Esophageal contractions are ineffective:

• with amplitudes < 25 mm Hg
• with simultaneous, incomplete or failed peristalsis

Figure 24: Esophageal body peristalsis. Schematic drawing of normal (peristaltic) and abnormal (non peristaltic) contraction waves during esophageal body manometry.