Pharyngeal high-resolution manometry – impedance – “new kid on the block” in the management of oropharyngeal dysphagia
Authors:
M. Ďuriček 1; I. Fillová 2; P. Lipták 1; M. Vojtko 1; Š. Plutko 1; B. Malý 1; P. Bánovčin 1
Authors‘ workplace:
Interná klinika – gastroenterologická JLF UK a UN Martin
1; Neurochirurgická klinika JLF UK a UN Martin
2
Published in:
Gastroent Hepatol 2025; 79(4): 254-262
Category:
doi:
https://doi.org/10.48095/ccgh2025254
Overview
Pharyngeal high-resolution manometry with impedance (P-HRM-I) is a novel diagnostic modality that is applied in the management of patients with oropharyngeal dysphagia. Based on the principle of esophageal high-resolution manometry, extended by the possibility of impedance measurement that enables a comprehensive assessment of the swallowing process, particularly pharyngeal contractility and upper esophageal sphincter (UES). This review article presents clinical applications of P-HRM-I based on the recent Leuven Consensus, which standardizes the protocol of the procedure and provides an analysis and interpretation of the findings. The article discusses the role of P-HRM-I in the diagnostic process, key manometric and impedance metrics and their interpretation, and related therapeutic implications. The Leuven consensus distinguishes two major categories of pharyngeal motility disorders: UES dysfunction and pharyngeal contractile dysfunction. P-HRM-I enhances the diagnostic yield in patients with oropharyngeal dysphagia by identifying the underlying pathophysiology of swallowing dysfunction, thereby allowing a personalized therapeutic approach.
Keywords:
dysphagia – high-resolution manometry – impedance – swallowing – upper esophageal sphincter
Sources
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ORCID autorov
M. Ďuriček 0000-0002-0754-4532
P. Lipták 0000-0001-8257-8567,
Š. Plutko 0009-0001-3232-2579,
B. Malý 0009-0005-9280-8377,
P. Bánovčin 0000-0001-6694-9364.
Doručené/ Submitted: 27. 6. 2025
Prijaté/ Accepted: 8. 8. 2025
Korespondenčný autor
doc. MU Dr. Peter Bánovčin, PhD.
Interná klinika – gastroenterologická
JLF UK a UN Martin
Kollárova 2
036 01 Martin
pbanovcin@gmail.com
Labels
Paediatric gastroenterology Gastroenterology and hepatology SurgeryArticle was published in
Gastroenterology and Hepatology
2025 Issue 4
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