Cargando…
Characterizing Esophageal Motility in Neonatal Intensive Care Unit Patients Using High Resolution Manometry
OBJECTIVE: To characterize esophageal motility and esophago-gastric junction (EGJ) function during feeding in neonatal intensive care unit (NICU) patients. PATIENTS AND METHODS: High resolution manometry with impedance (HRIM) was used to investigate esophageal motility and EGJ function in patients a...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8882608/ https://www.ncbi.nlm.nih.gov/pubmed/35237539 http://dx.doi.org/10.3389/fped.2022.806072 |
_version_ | 1784659731584909312 |
---|---|
author | Rayyan, Maissa Omari, Taher Cossey, Veerle Allegaert, Karel Rommel, Nathalie |
author_facet | Rayyan, Maissa Omari, Taher Cossey, Veerle Allegaert, Karel Rommel, Nathalie |
author_sort | Rayyan, Maissa |
collection | PubMed |
description | OBJECTIVE: To characterize esophageal motility and esophago-gastric junction (EGJ) function during feeding in neonatal intensive care unit (NICU) patients. PATIENTS AND METHODS: High resolution manometry with impedance (HRIM) was used to investigate esophageal motility and EGJ function in patients admitted to the NICU. Twenty-eight preterm born infants with bronchopulmonary dysplasia (BPD), 12 born with isolated congenital diaphragmatic hernia (iCDH), and 10 with esophageal atresia (EA) were included. Thirteen healthy infants were included as controls. Esophageal motility and EGJ function were analyzed using objective esophageal bolus transport parameters. RESULTS: Normal esophageal peristaltic wave patterns were observed in all investigated infants without EA. Nine of 10 patients with EA presented with abnormal esophageal motor wave patterns. A total of 224 nutritive swallows were analyzed (controls, n = 48; BPD, n = 96; iCDH, n = 60; EA, n = 20). Infants with BPD and iCDH had similar distal contractile strength (DCI) compared to healthy controls, while in patients with EA, DCI was significantly lower (Kruskal-Wallis test, p = 0.001). In most infants, EGJ relaxation after swallowing was unaffected. EGJ barrier function, in terms of EGJ-contractile integral, also appeared well-developed and did not differ significantly among patient groups. CONCLUSIONS: We conclude that esophageal motility studies using pressure-impedance analysis are feasible in young infants. Bolus transport mechanisms following nutritive swallows appeared well-established in all investigated infants with the exception of those with EA. EGJ relaxation was also functional after deglutition and EGJ function as an anti-reflux barrier appeared well-developed in all investigated NICU groups. |
format | Online Article Text |
id | pubmed-8882608 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-88826082022-03-01 Characterizing Esophageal Motility in Neonatal Intensive Care Unit Patients Using High Resolution Manometry Rayyan, Maissa Omari, Taher Cossey, Veerle Allegaert, Karel Rommel, Nathalie Front Pediatr Pediatrics OBJECTIVE: To characterize esophageal motility and esophago-gastric junction (EGJ) function during feeding in neonatal intensive care unit (NICU) patients. PATIENTS AND METHODS: High resolution manometry with impedance (HRIM) was used to investigate esophageal motility and EGJ function in patients admitted to the NICU. Twenty-eight preterm born infants with bronchopulmonary dysplasia (BPD), 12 born with isolated congenital diaphragmatic hernia (iCDH), and 10 with esophageal atresia (EA) were included. Thirteen healthy infants were included as controls. Esophageal motility and EGJ function were analyzed using objective esophageal bolus transport parameters. RESULTS: Normal esophageal peristaltic wave patterns were observed in all investigated infants without EA. Nine of 10 patients with EA presented with abnormal esophageal motor wave patterns. A total of 224 nutritive swallows were analyzed (controls, n = 48; BPD, n = 96; iCDH, n = 60; EA, n = 20). Infants with BPD and iCDH had similar distal contractile strength (DCI) compared to healthy controls, while in patients with EA, DCI was significantly lower (Kruskal-Wallis test, p = 0.001). In most infants, EGJ relaxation after swallowing was unaffected. EGJ barrier function, in terms of EGJ-contractile integral, also appeared well-developed and did not differ significantly among patient groups. CONCLUSIONS: We conclude that esophageal motility studies using pressure-impedance analysis are feasible in young infants. Bolus transport mechanisms following nutritive swallows appeared well-established in all investigated infants with the exception of those with EA. EGJ relaxation was also functional after deglutition and EGJ function as an anti-reflux barrier appeared well-developed in all investigated NICU groups. Frontiers Media S.A. 2022-02-14 /pmc/articles/PMC8882608/ /pubmed/35237539 http://dx.doi.org/10.3389/fped.2022.806072 Text en Copyright © 2022 Rayyan, Omari, Cossey, Allegaert and Rommel. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Pediatrics Rayyan, Maissa Omari, Taher Cossey, Veerle Allegaert, Karel Rommel, Nathalie Characterizing Esophageal Motility in Neonatal Intensive Care Unit Patients Using High Resolution Manometry |
title | Characterizing Esophageal Motility in Neonatal Intensive Care Unit Patients Using High Resolution Manometry |
title_full | Characterizing Esophageal Motility in Neonatal Intensive Care Unit Patients Using High Resolution Manometry |
title_fullStr | Characterizing Esophageal Motility in Neonatal Intensive Care Unit Patients Using High Resolution Manometry |
title_full_unstemmed | Characterizing Esophageal Motility in Neonatal Intensive Care Unit Patients Using High Resolution Manometry |
title_short | Characterizing Esophageal Motility in Neonatal Intensive Care Unit Patients Using High Resolution Manometry |
title_sort | characterizing esophageal motility in neonatal intensive care unit patients using high resolution manometry |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8882608/ https://www.ncbi.nlm.nih.gov/pubmed/35237539 http://dx.doi.org/10.3389/fped.2022.806072 |
work_keys_str_mv | AT rayyanmaissa characterizingesophagealmotilityinneonatalintensivecareunitpatientsusinghighresolutionmanometry AT omaritaher characterizingesophagealmotilityinneonatalintensivecareunitpatientsusinghighresolutionmanometry AT cosseyveerle characterizingesophagealmotilityinneonatalintensivecareunitpatientsusinghighresolutionmanometry AT allegaertkarel characterizingesophagealmotilityinneonatalintensivecareunitpatientsusinghighresolutionmanometry AT rommelnathalie characterizingesophagealmotilityinneonatalintensivecareunitpatientsusinghighresolutionmanometry |