Cited by 35Gastrointestinal motility and disordersGastroesophageal reflux and treatmentsGastrointestinal Bleeding Diagnosis and Treatment

Comprehensive characterization of antral and pyloric contractions by high resolution manometry: applied physiology in suspected gastroparesis

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Zheng, Ting, BouSaba, Joelle, Sannaa, Wassel, Eckert, Deborah J., Burton, Duane D., Camilleri, Michael·2022·American Journal of Physiology-Gastrointestinal and Liver Physiology

Abstract

Current selection of different treatments for patients with gastroparesis is empiric or based on trial and error, though pyloric distensibility and diameter may predict response to pyloric interventions. High-resolution antropyloroduodenal manometry (HR-ADM) can characterize a variety of postprandial antral contractile and pyloric motility dysfunctions in patients with suspected gastroparesis. HR-ADM shows promise to provide guidance for selection and individualization of treatments such as prokinetic agents or pyloric interventions for patients with gastroparesis based on documented pathophysiology.

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  • Advanced techniques, including antroduodenal‐jejunal manometry, wireless motility capsule, gastric ultrasound, and high‐resolution electrogastrography (EGG), may provide additional pathophysiological insight, particularly in complex or mixed‐pattern cases.

    “Advanced techniques, including antroduodenal‑jejunal manometry [71–75], wireless motility capsule [76–79], gastric ultrasound [80–82], and high‑resolution electrogastrography (EGG) [83–87] may provide additional pathophysiological insight, particularly in complex or mixed‑pattern cases.”

    From Diabetic gastroparesis: pathophysiology and impact on insulin timing choices (2026) · cites this paper as [74]

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References 28 · Cited by 35

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Authors
Zheng, T., BouSaba, J., Sannaa, W., Eckert, D. J., Burton, D. D., & Camilleri, M.
Affiliations
Mayo Clinic (US)
Corresponding author
Camilleri, Michael
Venue
American Journal of Physiology-Gastrointestinal and Liver Physiology
Published
2022-09-01
Volume
323
Issue
3
Pages
G255-G264
ISSN
  • 0193-1857 (ISSN-L)
  • 1522-1547
OpenAlex
W4285077248
Cited by
35
References
28
Citations by year
2026: 11 · 2025: 9 · 2024: 9 · 2023: 5 · 2022: 1
FWCI
5.25
Type
journal article
Language
en
Open access
Locations
  • American Journal of Physiology-Gastrointestinal and Liver Physiology (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
HHS | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (R01-DK122280, R01-DK125680)
Topics
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
  • Health Sciences › Medicine › Gastroenterology › Gastroesophageal reflux and treatments
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal Bleeding Diagnosis and Treatment
Keywords
gastroparesis, antral contractions, postprandial motility, prokinetic agents, treatment selection
MeSH terms
Duodenum, Esophageal Achalasia, Gastric Emptying, Gastrointestinal Motility, Humans, Manometry, Pyloric Antrum, Pylorus, Gastroparesis, Esophageal Sphincter, Lower

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