The aim of this project is to perform a detailed evaluation of upper esophageal sphincter function and the swallowing mechanism in patients with swallowing disorders or suspected extraesophageal reflux using high-resolution manometry with impedance and 24-hour pH-impedance monitoring.
The project seeks to improve diagnostic accuracy, identify functional abnormalities that are not detectable by conventional diagnostic methods, and establish a foundation for more effective and targeted therapeutic strategies. The upper esophageal sphincter (UES) represents a crucial functional structure at the junction of the digestive and respiratory tracts. Its proper function is essential for the coordination of the swallowing process and for the protection of the upper airways. Disorders of the UES may be associated with a wide range of otorhinolaryngological symptoms, including dysphagia, globus pharyngeus, chronic cough, hoarseness, laryngeal dysfunction, and voice disorders. Modern diagnostic techniques, such as 24-hour esophageal impedance monitoring and high-resolution manometry (HRM), enable detailed assessment of gastroesophageal reflux and esophageal pressure dynamics, thereby offering new possibilities for the diagnosis and understanding of these conditions.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
160
Patients with extraoesophageal reflux and dysphagia will undergo high resolution oesophageal manometry with impedance.
Patients with extraoesophageal reflux will undergo 24-hour pH-metry.
University Hospital Ostrava
Ostrava, Moravian-Silesian Region, Czechia
PAET (Proximal Acid Exposure Time)
PAET (Proximal Acid Exposure Time) - acid exposure to the proximal oesophageus will be measured in per cent of the whole 24-h period.
Time frame: 24 hours
Upper esophageal sphincter (UES) Integrated Relaxation Pressure (IRP)
UES IRP is a measure of the extent of UES relaxation measured in mmHg
Time frame: 15 minutes
UES Maximum Admittance
UES MaxAd is the highest admittance value recorded during trans-sphincteric bolus flow measured in milliseconds.
Time frame: 15 minutes
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