Dr. Matt W Johnson BSc MBBS MRCP

We have been delighted with the results of our new high resolution manometry service. We have now investigated over 40 patients in the last few months. It has enabled us to diagnose a host of conditions that conventional manometry does not have the ability to define.
As one of the first district general hospitals to embrace this cutting edge technology we will auditing and publishing the results of our first year of service.
We are also starting additional research projects looking at oesophageal dysmotility and reflux as a major cause of;-
1) chronic cough, especially if this is predominantly troublesome during the night.
2) atypical chest pain

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Gastroenterology 2008;135:1528-1533

Type 1 – Classic achalasia with minimal oesophageal pressurization
Type 2 – Achalasia with oesophageal compression
Type 3 – Achalasia with spasm, functional obstruction, some peristalsis

Response to therapy
Type 1 – 56% overall
Type 2 – 71% BoTox, 91% Balloon Dilatation, 100% Heller’s Myotomy
Type 3 – 29% overall

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