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Laparoscopic, G.I. & colorectal surgery, Navi Mumbai, India


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All Posts Tagged: Esophageal Manometry Procedure

Esophageal manometry

Esophageal Manometry : Diagnosing Disorders Affecting your Esophagus (Food pipe)

Esophageal Manometry is a procedure which is used to identify various pathological conditions associated with the esophagus (food pipe) and lower esophageal sphincter (LES), the valve like ring of muscle, located between the esophagus and stomach. This valve is responsible in controlling the movements taking place when food bolus is passed through the esophagus to the stomach and improper functioning of it can result in condition like acid reflux or gastro esophageal reflux disease (GERD).

Patients who present with symptoms such as acid regurgitation, heart burn, chest pain (which mimic heart attack), difficulty or pain in swallowing, nausea and vomiting can be advised to go for esophageal manometry. It is also done Prior to anti reflux surgery.

Before esophageal manometry eight hour or over-night fasting is advised by the Gastroenterologist. In addition to that, a complete history including current medications and past surgical history will be taken from the patient where certain drugs like calcium channel blockers, nitrates, nitroglycerin and sedatives might have to be withdrawn for a certain duration.

Patient will be lied down on bed, and an application to numb the nasal canal (anesthetized) is applied which will help in reducing the discomfort throughout the procedure.

Thereafter, a very thin and flexible tube is inserted into the nose which will pass down the esophagus until it reaches the stomach and when it is pulled back gradually, the patient is asked to swallow at different points so that the individual pressures and tone of the esophageal muscles and lower esophageal sphincter is measured by sensors attached to the tube. This test is also used to measure the pH value of the esophageal contents with the help of the pH probe attached to the same tube.

This whole procedure takes approx 30 to 45 minutes.

It is normal that some patients may gag or feel uncomfortable when the tube is inserted initially and get a stuffy nose during the procedure. However, breathing is not interfered by the procedure.

Major complications of esophageal manometry include perforation, where a trauma to the esophagus might have caused a hole on it resulting in leakage and aspiration where an inhalation of saliva or some other contents in the stomach takes place which can give rise to pneumonia and lung injuries.

The results obtained by esophageal manometry will help to diagnose problems such as abnormal contractions of esophageal muscles, Achalasia cardia (improper opening of LES), Hiatus Hernia and GERD (weak LES), spasmodic movements of the esophagus and Scleroderma (an autoimmune condition which will paralyze muscles of esophagus).

Methods of treatment will be planned based on the type and severity of the conditions diagnosed by esophageal manometry.

Esophageal Manometry is useful test to diagnose food pipe movement and pressure disorders and is available at colorectal department of Fortis Hiranandani hospital Vashi , Navi Mumbai, headed by Dr Nitish Jhawar.

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What patient says about Dr. Nitish Jhawar

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    I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at M.... hospital, he .... asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Fortis staff was also very caring and good. I would mention fortis Vashi in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

  • I had surgery of my left hydrocele on 27th May 2017 by Dr Nitish Jhawar. An excellent experience of service I got particularly from Dr Jhawar. He is not only a qualified experienced doctor but also a splendid human being. Thanks a lot.

  • It was a Laparoscopic operation for the removal of Gall Bladder (stones). I had developed on and off pain in abdomen before the operation, after the operation feeling good, totally pain free. Thanks and respect for handling my case very well.

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    I met doctor Nitish for piles problem and wanted to undergo LASER procedure only, my operation is successful and I thank doctor for being a good human being and great surgeon.

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    I was suffering from piles since long time. For bleeding heavily I met Dr Nitish Jhawar and after meeting him decided to go for Stapler surgery for piles. I found him a doctor who listens to our problem and explains properly.

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    I got diagnosed about a year back but was avoiding operation for Hernia repair, Dr Nitish Jhawar explained me why surgery should be done and I chose surgery by laparoscopy method. I am happy with the doctor and the hospital.

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    I visited for Gall Bladder removal by Laparoscopy after searching for best laparoscopic surgeon. After meeting dr my fear for surgery was vanished and my surgery went well and recovery was smooth.

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    Honest doctor, expert in his field....can trust his words

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    Very good he describe everything in very pleasant manner about the problem which was very helpful to me to understand my disease.

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    Very nice. Doctor is very patient and gives you correct advice.

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    He is very erudite and smart at getting to the bottleneck of the problem. And before realized he had pinched away d growth bothering me near my anal area.

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    Dr. Jhawar is few of the best doctors in town. Extremely pleasant and comfortable experience