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Validation of criteria for the definition of transient lower esophageal sphincter relaxations using high-resolution manometry.

Identifieur interne : 001122 ( PubMed/Corpus ); précédent : 001121; suivant : 001123

Validation of criteria for the definition of transient lower esophageal sphincter relaxations using high-resolution manometry.

Auteurs : S. Roman ; R. Holloway ; J. Keller ; F. Herbella ; F. Zerbib ; Y. Xiao ; L. Bernard ; A J Bredenoord ; S. Bruley Des Varannes ; M. Chen ; M. Fox ; P J Kahrilas ; R K Mittal ; R. Penagini ; E. Savarino ; D. Sifrim ; J. Wu ; E. Decullier ; J E Pandolfino ; F. Mion

Source :

RBID : pubmed:27477826

Abstract

Criteria for transient lower esophageal sphincter relaxations (TLESRs) are well-defined for Dentsleeve manometry. As high-resolution manometry (HRM) is now the gold standard to assess esophageal motility, our aim was to propose a consensus definition of TLESRs using HRM.

DOI: 10.1111/nmo.12920
PubMed: 27477826

Links to Exploration step

pubmed:27477826

Le document en format XML

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<name sortKey="Bernard, L" sort="Bernard, L" uniqKey="Bernard L" first="L" last="Bernard">L. Bernard</name>
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<name sortKey="Bredenoord, A J" sort="Bredenoord, A J" uniqKey="Bredenoord A" first="A J" last="Bredenoord">A J Bredenoord</name>
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<nlm:affiliation>Gastroenterology and Hepatology, Academic Medical Center, Amsterdam, The Netherlands.</nlm:affiliation>
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<name sortKey="Bruley Des Varannes, S" sort="Bruley Des Varannes, S" uniqKey="Bruley Des Varannes S" first="S" last="Bruley Des Varannes">S. Bruley Des Varannes</name>
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<nlm:affiliation>Institut des Maladies de l'Appareil Digestif, CHU Nantes and Nantes University, Nantes, France.</nlm:affiliation>
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<name sortKey="Fox, M" sort="Fox, M" uniqKey="Fox M" first="M" last="Fox">M. Fox</name>
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<nlm:affiliation>Division of Gasotrenterology, Department of Medicine, Northwestern University, Chicago, IL, USA.</nlm:affiliation>
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<name sortKey="Mittal, R K" sort="Mittal, R K" uniqKey="Mittal R" first="R K" last="Mittal">R K Mittal</name>
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<nlm:affiliation>Division of Gastroenterology, Department of Medicine, University of California San Diego, San Diego, CA, USA.</nlm:affiliation>
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<name sortKey="Penagini, R" sort="Penagini, R" uniqKey="Penagini R" first="R" last="Penagini">R. Penagini</name>
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<nlm:affiliation>Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.</nlm:affiliation>
</affiliation>
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<name sortKey="Savarino, E" sort="Savarino, E" uniqKey="Savarino E" first="E" last="Savarino">E. Savarino</name>
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<nlm:affiliation>Division of Gastroenterology, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, Padua, Italy.</nlm:affiliation>
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<name sortKey="Sifrim, D" sort="Sifrim, D" uniqKey="Sifrim D" first="D" last="Sifrim">D. Sifrim</name>
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<nlm:affiliation>Center for Digestive Diseases, Bart's and the London School and Dentistry, London, UK.</nlm:affiliation>
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<name sortKey="Wu, J" sort="Wu, J" uniqKey="Wu J" first="J" last="Wu">J. Wu</name>
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<nlm:affiliation>Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong, China.</nlm:affiliation>
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<name sortKey="Decullier, E" sort="Decullier, E" uniqKey="Decullier E" first="E" last="Decullier">E. Decullier</name>
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<nlm:affiliation>Hospices Civils de Lyon, Pôle Information Médicale Evaluation Recherche, Unité de recherche clinique, Lyon, France.</nlm:affiliation>
</affiliation>
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<name sortKey="Pandolfino, J E" sort="Pandolfino, J E" uniqKey="Pandolfino J" first="J E" last="Pandolfino">J E Pandolfino</name>
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<nlm:affiliation>Division of Gasotrenterology, Department of Medicine, Northwestern University, Chicago, IL, USA.</nlm:affiliation>
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<name sortKey="Mion, F" sort="Mion, F" uniqKey="Mion F" first="F" last="Mion">F. Mion</name>
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<nlm:affiliation>Digestive Physiology, Hospices Civils de Lyon, and Lyon I University, Lyon, France.</nlm:affiliation>
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<series>
<title level="j">Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society</title>
<idno type="eISSN">1365-2982</idno>
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<div type="abstract" xml:lang="en">Criteria for transient lower esophageal sphincter relaxations (TLESRs) are well-defined for Dentsleeve manometry. As high-resolution manometry (HRM) is now the gold standard to assess esophageal motility, our aim was to propose a consensus definition of TLESRs using HRM.</div>
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<DateCreated>
<Year>2016</Year>
<Month>08</Month>
<Day>01</Day>
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<Month>01</Month>
<Day>29</Day>
</DateRevised>
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<Volume>29</Volume>
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<Title>Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society</Title>
<ISOAbbreviation>Neurogastroenterol. Motil.</ISOAbbreviation>
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<ArticleTitle>Validation of criteria for the definition of transient lower esophageal sphincter relaxations using high-resolution manometry.</ArticleTitle>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/nmo.12920</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Criteria for transient lower esophageal sphincter relaxations (TLESRs) are well-defined for Dentsleeve manometry. As high-resolution manometry (HRM) is now the gold standard to assess esophageal motility, our aim was to propose a consensus definition of TLESRs using HRM.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Postprandial esophageal HRM combined with impedance was performed in 10 patients with gastroesophageal reflux disease. Transient lower esophageal sphincter relaxations identification was performed by 17 experts using a Delphi process. Four investigators then characterized TLESR candidates that achieved 100% agreement (TLESR events) and those that achieved less than 25% agreement (non-events) after the third round. Logistic regression and decision tree analysis were used to define optimal diagnostic criteria.</AbstractText>
<AbstractText Label="KEY RESULTS" NlmCategory="RESULTS">All diagnostic criteria were more frequently encountered in the 57 TLESR events than in the 52 non-events. Crural diaphragm (CD) inhibition and LES relaxation duration >10 seconds had the highest predictive value to identify TLESR. Based on decision tree analysis, reflux on impedance, esophageal shortening, common cavity, upper esophageal sphincter relaxation without swallow and secondary peristalsis were alternate diagnostic criteria.</AbstractText>
<AbstractText Label="CONCLUSION & INFERENCES" NlmCategory="CONCLUSIONS">Using HRM, TLESR might be defined as LES relaxation occurring in absence of swallowing, lasting more than 10 seconds and associated with CD inhibition.</AbstractText>
<CopyrightInformation>© 2016 John Wiley & Sons Ltd.</CopyrightInformation>
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<LastName>Roman</LastName>
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</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Inserm U1032, LabTAU, Lyon, France.</Affiliation>
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<LastName>Xiao</LastName>
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<Affiliation>Division of Gastroenterology, Department of Medicine, University of California San Diego, San Diego, CA, USA.</Affiliation>
</AffiliationInfo>
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<LastName>Penagini</LastName>
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<AffiliationInfo>
<Affiliation>Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Pathophysiology and Transplantation, Università degli Studi, Milan, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Savarino</LastName>
<ForeName>E</ForeName>
<Initials>E</Initials>
<AffiliationInfo>
<Affiliation>Division of Gastroenterology, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, Padua, Italy.</Affiliation>
</AffiliationInfo>
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<LastName>Sifrim</LastName>
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<LastName>Wu</LastName>
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<LastName>Decullier</LastName>
<ForeName>E</ForeName>
<Initials>E</Initials>
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<Affiliation>Hospices Civils de Lyon, Pôle Information Médicale Evaluation Recherche, Unité de recherche clinique, Lyon, France.</Affiliation>
</AffiliationInfo>
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<Affiliation>Division of Gasotrenterology, Department of Medicine, Northwestern University, Chicago, IL, USA.</Affiliation>
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<Keyword MajorTopicYN="N">consensus</Keyword>
<Keyword MajorTopicYN="N">gastroesophageal reflux disease</Keyword>
<Keyword MajorTopicYN="N">high-resolution manometry</Keyword>
<Keyword MajorTopicYN="N">transient lower esophageal sphincter relaxation</Keyword>
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<Year>2016</Year>
<Month>05</Month>
<Day>03</Day>
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<PubMedPubDate PubStatus="accepted">
<Year>2016</Year>
<Month>07</Month>
<Day>14</Day>
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<ArticleId IdType="pubmed">27477826</ArticleId>
<ArticleId IdType="doi">10.1111/nmo.12920</ArticleId>
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