American neurogastroenterology and motility society consensus statement on intraluminal measurement of gastrointestinal and colonic motility in clinical practice

M. Camilleri, A. E. Bharucha, C. Di Lorenzo, W. L. Hasler, C. M. Prather, Satish Sanku Chander Rao, A. Wald

Research output: Contribution to journalReview article

139 Citations (Scopus)

Abstract

Tests of gastric, small intestinal and colonic motor function provide relevant physiological information and are useful for diagnosing and guiding the management of dysmotilities. Intraluminal pressure measurements may include concurrent measurements of transit or intraluminal pH. A consensus statement was developed and based on reports in the literature, experience of the authors, and discussions conducted under the auspices of the American Neurogastroenterology and Motility Society in 2008. The article reviews the indications, methods, performance characteristics, and clinical utility of intraluminal measurements of pressure activity and tone in the stomach, small bowel and colon in humans. Gastric and small bowel motor function can be measured by intraluminal manometry, which may identify patterns suggestive of myopathy, neuropathy, or obstruction. Manometry may be most helpful when it is normal. Combined wireless pressure and pH capsules provide information on the amplitude of contractions as they traverse the stomach and small intestine. In the colon, manometry assesses colonic phasic pressure activity while a barostat assesses tone, compliance, and phasic pressure activity. The utility of colonic pressure measurements by a single sensor in wireless pressure/pH capsules is not established. In children with intractable constipation, colonic phasic pressure measurements can identify patterns suggestive of neuropathy and predict success of antegrade enemas via cecostomy. In adults, these assessments may be used to document severe motor dysfunction (colonic inertia) prior to colectomy. Thus, intraluminal pressure measurements may contribute to the management of patients with disorders of gastrointestinal and colonic motility.

Original languageEnglish (US)
Pages (from-to)1269-1282
Number of pages14
JournalNeurogastroenterology and Motility
Volume20
Issue number12
DOIs
StatePublished - Dec 1 2008

Fingerprint

Gastrointestinal Motility
Pressure
Stomach
Manometry
Constipation
Capsules
Colon
Cecostomy
Colectomy
Enema
Muscular Diseases
Compliance
Small Intestine

Keywords

  • Capsule
  • Compliance
  • Manometry
  • Pressure
  • Tone
  • pH

ASJC Scopus subject areas

  • Physiology
  • Endocrine and Autonomic Systems
  • Gastroenterology

Cite this

American neurogastroenterology and motility society consensus statement on intraluminal measurement of gastrointestinal and colonic motility in clinical practice. / Camilleri, M.; Bharucha, A. E.; Di Lorenzo, C.; Hasler, W. L.; Prather, C. M.; Rao, Satish Sanku Chander; Wald, A.

In: Neurogastroenterology and Motility, Vol. 20, No. 12, 01.12.2008, p. 1269-1282.

Research output: Contribution to journalReview article

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