High-Resolution Esophageal Manometry (HREM) is the leading diagnostic method used to assess esophageal motility patterns with its improved pressure resolution and standardised metrics. It has been introduced in both research and clinical settings to precisely diagnose esophageal motility disorders.
HREM is frequently used to evaluate non-obstructive dysphagia, assess peristaltic reserve prior to anti-reflux surgery, investigate symptoms such as regurgitation, and explore noncardiac chest pain that remains unexplained after endoscopic evaluation.
At Apollo Hospital in Jubilee Hills, Hyderabad, our specialists possess extensive training and remarkable proficiency in high-resolution esophageal manometry (HREM). Through their expertise, our specialists consistently achieve outstanding safety and success rates, cementing our institution as the best choice for high-resolution esophageal manometry (HREM) in Hyderabad.
What Happens In High Resolution Esophageal Manometry (HREM)?
In high-resolution esophageal manometry (HREM), a doctor will insert the catheter with sensors through your nasal passage and down into your oesophagus (food pipe) until it reaches your stomach. Prior to insertion, they will lubricate the catheter and administer a topical anaesthetic to your nose and throat to alleviate discomfort caused by friction.
Once the catheter is positioned, they will obtain a baseline reading while you are lying on your back and breathing normally. Following this, you will swallow small amounts of water. During the standard procedure, you will swallow seven to ten times while lying down or reclining. Your doctor may introduce variations, such as having you sit upright or swallow thicker substances like applesauce.
Pre-Operative Care For HREM
You should refrain from consuming food or beverages for at least six hours prior to the test. Additionally, your doctor might advise discontinuing specific medications 24 hours beforehand, such as:
Post-Operative Care For HREM
After successful completion of your high-resolution esophageal manometry (HREM):
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