{"title":"功能性管腔成像探头在内镜检查中对食管运动的评价","authors":"Dustin A. Carlson MD, MS","doi":"10.1016/j.tgie.2018.07.004","DOIUrl":null,"url":null,"abstract":"<div><p><span><span>The functional luminal imaging probe (FLIP) provides a novel method to evaluate the esophageal response to distension. The comprehensive evaluation of esophageal function<span> that includes esophagogastric junction (EGJ) distensibility and distension-induced contractility, i.e. FLIP panometry, provides an appealing method to evaluate </span></span>esophageal motility at the time of sedated </span>endoscopy<span>. Abnormal EGJ distensibility is a consistently observed finding among patients with achalasia<span><span> and EGJ outflow obstruction, while the normal contractile response to esophageal distension involves repetitive, antegrade contractions. Thus, the esophageal motility assessment with FLIP panometry was reported to effectively detect abnormal motility, including achalasia, and also may identify functional abnormalities that are not detected on manometry. Ultimately, FLIP panometry offers a well-tolerated method to potentially enhance the </span>clinical evaluation of esophageal motility. This review aims to discuss the evaluation of esophageal motility at the time of endoscopy with FLIP panometry.</span></span></p></div>","PeriodicalId":43887,"journal":{"name":"Techniques in Gastrointestinal Endoscopy","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.tgie.2018.07.004","citationCount":"1","resultStr":"{\"title\":\"Evaluation of esophageal motility during endoscopy with the functional luminal imaging probe\",\"authors\":\"Dustin A. Carlson MD, MS\",\"doi\":\"10.1016/j.tgie.2018.07.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p><span><span>The functional luminal imaging probe (FLIP) provides a novel method to evaluate the esophageal response to distension. The comprehensive evaluation of esophageal function<span> that includes esophagogastric junction (EGJ) distensibility and distension-induced contractility, i.e. FLIP panometry, provides an appealing method to evaluate </span></span>esophageal motility at the time of sedated </span>endoscopy<span>. Abnormal EGJ distensibility is a consistently observed finding among patients with achalasia<span><span> and EGJ outflow obstruction, while the normal contractile response to esophageal distension involves repetitive, antegrade contractions. Thus, the esophageal motility assessment with FLIP panometry was reported to effectively detect abnormal motility, including achalasia, and also may identify functional abnormalities that are not detected on manometry. Ultimately, FLIP panometry offers a well-tolerated method to potentially enhance the </span>clinical evaluation of esophageal motility. This review aims to discuss the evaluation of esophageal motility at the time of endoscopy with FLIP panometry.</span></span></p></div>\",\"PeriodicalId\":43887,\"journal\":{\"name\":\"Techniques in Gastrointestinal Endoscopy\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2018-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.tgie.2018.07.004\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Techniques in Gastrointestinal Endoscopy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1096288318300366\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Techniques in Gastrointestinal Endoscopy","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1096288318300366","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Evaluation of esophageal motility during endoscopy with the functional luminal imaging probe
The functional luminal imaging probe (FLIP) provides a novel method to evaluate the esophageal response to distension. The comprehensive evaluation of esophageal function that includes esophagogastric junction (EGJ) distensibility and distension-induced contractility, i.e. FLIP panometry, provides an appealing method to evaluate esophageal motility at the time of sedated endoscopy. Abnormal EGJ distensibility is a consistently observed finding among patients with achalasia and EGJ outflow obstruction, while the normal contractile response to esophageal distension involves repetitive, antegrade contractions. Thus, the esophageal motility assessment with FLIP panometry was reported to effectively detect abnormal motility, including achalasia, and also may identify functional abnormalities that are not detected on manometry. Ultimately, FLIP panometry offers a well-tolerated method to potentially enhance the clinical evaluation of esophageal motility. This review aims to discuss the evaluation of esophageal motility at the time of endoscopy with FLIP panometry.
期刊介绍：
The purpose of each issue of Techniques in Gastrointestinal Endoscopy is to provide a comprehensive, current overview of a clinical condition or surgical procedure in gastrointestinal endoscopy, combining the effectiveness of an atlas with the timeliness of a journal. Each issue places a vigorous emphasis on diagnosis, rationale for and against a procedure, actual technique, management, and prevention of complications. The journal features abundant illustrations, line drawings and color artwork to guide readers through even the most complicated procedure.
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